Demonstration environment. Fictional organization, fictional payers, synthetic data throughout. No patient data. Changes you make stay in this browser only.
ParvinCorpPayer Remittance Bridge

Ridgeline Health Partners. Multi-specialty physician group, 6 sites, 14 providers. This demo covers 12 billing providers, 4 billing locations and 4 contracted payers.

Signed in as

Dana Whitfield, Billing Operations Lead. Imports remittance files, works denials and underpayments, and is the only role that can open a raw remittance file from a payer (835).

Work queueMenu

Work queue

62 claims with $10,957.81 in play, ordered by the day the chance to act runs out. Appeal windows count from the remittance date; corrected claims and refiles count from the date of service, against each payer's filing limit. Claims a payer has not answered after 30 days are here too.

Payments dated Aug 4, 2026 to Sep 29, 2026, as of Oct 7, 2026. Whole organization, every site.

Filtered to: payer Granite Plains Mutual or Tallow Creek Health Plan; next step Appeal, Send a corrected claim, Write off or Research the claim.

Due within 14 days (1)

Do these this week.

  • Due Oct 13, 2026
    in 6 days
    $214.50
    Tallow Creek Health Plan
    Dr. Martin Osei
    Main Campus
    Denied

    Send a corrected claim. Read the remark code, fix the field it names, and resubmit.

    Assigned to Lee MarshIn progress

Due within 30 days (2)

Schedule these now so they do not become urgent.

  • Due Oct 31, 2026
    in 24 days
    $145.60
    Tallow Creek Health Plan
    Dr. Grace Lindqvist
    Main Campus
    Denied

    Send a corrected claim. Fix the modifier and send a corrected claim.

    Assigned to nobody yetNot started
  • Due Nov 3, 2026
    in 27 days
    $84.50
    Tallow Creek Health Plan
    Dr. Alana Reyes
    Eastgate Family Care
    Partially denied

    Send a corrected claim. If the service was separate and distinct, add the right modifier and send a corrected claim.

    Assigned to nobody yetNot started

More than 30 days (56)

Time in hand, but money is waiting.

  • Due Nov 22, 2026
    in 46 days
    $1,365.00
    Tallow Creek Health Plan
    Dr. Owen Whitaker
    Riverside Orthopedics
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Nov 22, 2026
    in 46 days
    $84.50
    Tallow Creek Health Plan
    Dr. Helen Park
    Riverside Orthopedics
    Partially denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Nov 22, 2026
    in 46 days
    $68.90
    Tallow Creek Health Plan
    Dr. Martin Osei
    Stonebridge
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Dec 1, 2026
    in 55 days
    $145.60
    Tallow Creek Health Plan
    Dr. Samuel Ivers
    Main Campus
    Denied

    Send a corrected claim. Fix the modifier and send a corrected claim.

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $1,365.00
    Tallow Creek Health Plan
    Jordan Blake, PA-C
    Riverside Orthopedics
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $936.00
    Tallow Creek Health Plan
    Dr. Martin Osei
    Riverside Orthopedics
    Denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $84.50
    Tallow Creek Health Plan
    Dr. Helen Park
    Riverside Orthopedics
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Jan 21, 2027
    in 106 days
    $68.44
    Granite Plains Mutual
    Dr. Samuel Ivers
    Main Campus
    Denied

    Send a corrected claim. Read the remark code, fix the field it names, and resubmit.

    Assigned to nobody yetNot started
  • Due Feb 2, 2027
    in 118 days
    $112.10
    Granite Plains Mutual
    Dr. Samuel Ivers
    Main Campus
    Denied

    Send a corrected claim. Fix the modifier and send a corrected claim.

    Assigned to nobody yetNot started
  • Due Feb 9, 2027
    in 125 days
    $118.00
    Granite Plains Mutual
    Dr. Nina Castellano
    Main Campus
    Partially denied

    Send a corrected claim. Fix the modifier and send a corrected claim.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $306.80
    Granite Plains Mutual
    Dr. Owen Whitaker
    Eastgate Family Care
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $259.60
    Granite Plains Mutual
    Dr. Nina Castellano
    Stonebridge
    Denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $153.99
    Granite Plains Mutual
    Dr. Priya Raman
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $153.99
    Granite Plains Mutual
    Dr. Tomas Varga
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $153.99
    Granite Plains Mutual
    Dr. Martin Osei
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $153.99
    Granite Plains Mutual
    Dr. Nina Castellano
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $153.99
    Granite Plains Mutual
    Dr. Tomas Varga
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $111.51
    Granite Plains Mutual
    Jordan Blake, PA-C
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $111.51
    Granite Plains Mutual
    Dr. Owen Whitaker
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $111.51
    Granite Plains Mutual
    Dr. Victor Adeyemi
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $111.51
    Granite Plains Mutual
    Jordan Blake, PA-C
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $76.46
    Granite Plains Mutual
    Dr. Nina Castellano
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $76.46
    Granite Plains Mutual
    Dr. Tomas Varga
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $76.46
    Granite Plains Mutual
    Dr. Martin Osei
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 14, 2027
    in 130 days
    $76.46
    Granite Plains Mutual
    Dr. Nina Castellano
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $306.80
    Granite Plains Mutual
    Jordan Blake, PA-C
    Eastgate Family Care
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $153.99
    Granite Plains Mutual
    Dr. Martin Osei
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $153.99
    Granite Plains Mutual
    Dr. Nina Castellano
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $153.99
    Granite Plains Mutual
    Dr. Tomas Varga
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $153.99
    Granite Plains Mutual
    Dr. Martin Osei
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $153.40
    Granite Plains Mutual
    Dr. Martin Osei
    Stonebridge
    Denied

    Appeal. Appeal only with proof of timely submission; otherwise write it off. It cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $111.51
    Granite Plains Mutual
    Dr. Owen Whitaker
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $111.51
    Granite Plains Mutual
    Dr. Victor Adeyemi
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $111.51
    Granite Plains Mutual
    Jordan Blake, PA-C
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $111.51
    Granite Plains Mutual
    Dr. Owen Whitaker
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $76.46
    Granite Plains Mutual
    Dr. Tomas Varga
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $76.46
    Granite Plains Mutual
    Dr. Martin Osei
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $76.46
    Granite Plains Mutual
    Dr. Nina Castellano
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $76.46
    Granite Plains Mutual
    Dr. Tomas Varga
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Feb 28, 2027
    in 144 days
    $12.32
    Granite Plains Mutual
    Dr. Helen Park
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 4, 2027
    in 148 days
    $112.10
    Granite Plains Mutual
    Dr. Alana Reyes
    Main Campus
    Denied

    Send a corrected claim. Fix the modifier and send a corrected claim.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $306.80
    Granite Plains Mutual
    Dr. Victor Adeyemi
    Eastgate Family Care
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $259.60
    Granite Plains Mutual
    Dr. Tomas Varga
    Stonebridge
    Denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $153.99
    Granite Plains Mutual
    Dr. Nina Castellano
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $153.99
    Granite Plains Mutual
    Dr. Tomas Varga
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $153.99
    Granite Plains Mutual
    Dr. Martin Osei
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $153.99
    Granite Plains Mutual
    Dr. Nina Castellano
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $111.51
    Granite Plains Mutual
    Dr. Victor Adeyemi
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $111.51
    Granite Plains Mutual
    Jordan Blake, PA-C
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $111.51
    Granite Plains Mutual
    Dr. Owen Whitaker
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $111.51
    Granite Plains Mutual
    Dr. Victor Adeyemi
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $76.46
    Granite Plains Mutual
    Dr. Martin Osei
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $76.46
    Granite Plains Mutual
    Dr. Nina Castellano
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $76.46
    Granite Plains Mutual
    Dr. Tomas Varga
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $76.46
    Granite Plains Mutual
    Dr. Martin Osei
    Riverside Orthopedics
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Mar 28, 2027
    in 172 days
    $13.24
    Granite Plains Mutual
    Dr. Samuel Ivers
    Main Campus
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started

Research before posting (2)

No payer deadline, but the money cannot be posted yet: find the claim a payment belongs to, or confirm a suggested match.

  • No deadline
    $108.56
    Granite Plains Mutual
    Unmatched

    Research the claim. Find the claim in the practice system before posting this money, or it lands on the wrong account.

    Assigned to nobody yetNot started
  • No deadline
    $0.00
    Granite Plains Mutual
    Dr. Martin Osei
    Main Campus
    Paid as expected

    Research the claim. The payer returned claim number "RHP1OO151", which is not on file. RHP100151 has the same payer, service date and charge. Confirm before posting.

    Assigned to nobody yetNot started

Post and close (1)

No payer deadline. Bill the patient for what the payer made their responsibility, or write off what the contract says the practice absorbs, with a reason.

  • No deadline
    $68.44
    Granite Plains Mutual
    Dr. Helen Park
    Riverside Orthopedics
    Denied

    Write off. Contractual obligation (group CO): the payer assigned this amount to the practice, so it may not be billed to the patient; doing so is balance billing. The service is not covered. A remark code usually says why. Write it off. If the patient signed a waiver before the visit, send a corrected claim with the waiver modifier (for Medicare, GA) so the payer can reassign it to the patient; if the service was necessary, appeal instead.

    Assigned to nobody yetNot started