Work queue
13 claims with $7,266.58 in play, including $95.68 the practice may owe back, 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 Silver Mesa Senior Advantage or Tallow Creek Health Plan; site Eastgate Family Care, Stonebridge or Riverside Orthopedics; next step Appeal, Review for refund or Check claim status.
Pick as many as you like in each row. A claim shows if it matches any pick in a row, and every row.
Due within 14 days (3)
Do these this week.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP101147 Silver Mesa Senior Advantage Dr. Victor Adeyemi Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Oct 12, 2026 in 5 days | Nobody yet Not started | $1,050.00 |
| RHP101121 Silver Mesa Senior Advantage Dr. Tomas Varga Riverside Orthopedics | Denied | Appeal. Appeal with the visit note and any supporting records. | Oct 12, 2026 in 5 days | Nobody yet Not started | $720.00 |
| RHP100221 Silver Mesa Senior Advantage Jordan Blake, PA-C Stonebridge | Denied | Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause. | Oct 12, 2026 in 5 days | Dana Whitfield In progress | $147.00 |
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- Silver Mesa Senior AdvantageDr. Victor AdeyemiRiverside OrthopedicsDenied
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 - Silver Mesa Senior AdvantageDr. Tomas VargaRiverside OrthopedicsDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageJordan Blake, PA-CStonebridgeDenied
Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause.
Assigned to Dana WhitfieldIn progress
More than 30 days (10)
Time in hand, but money is waiting.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100523 Silver Mesa Senior Advantage Dr. Victor Adeyemi Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Nov 7, 2026 in 31 days | Nobody yet Not started | $1,050.00 |
| RHP100125 Silver Mesa Senior Advantage Jordan Blake, PA-C Stonebridge | Denied | Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause. | Nov 7, 2026 in 31 days | Kendra Hollis Open | $170.00 |
| RHP100107 Tallow Creek Health Plan Jordan Blake, PA-C Eastgate Family Care | Paid as expected Paid twice | Review for refund. The payer paid this claim twice. Expect a recoupment, or refund the second payment. | Nov 21, 2026 in 45 days | Nobody yet Not started | $95.68 Refund owed |
| RHP100315 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. | Nov 22, 2026 in 46 days | Nobody yet Not started | $1,365.00 |
| RHP100104 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. | Nov 22, 2026 in 46 days | Nobody yet Not started | $84.50 |
| RHP100105 Tallow Creek Health Plan Dr. Martin Osei Stonebridge | Underpaid | Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page. | Nov 22, 2026 in 46 days | Nobody yet Not started | $68.90 |
| RHP100731 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. | Dec 21, 2026 in 75 days | Nobody yet Not started | $1,365.00 |
| RHP100705 Tallow Creek Health Plan Dr. Martin Osei Riverside Orthopedics | Denied | Appeal. Appeal with the visit note and any supporting records. | Dec 21, 2026 in 75 days | Nobody yet Not started | $936.00 |
| RHP100143 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. | Dec 21, 2026 in 75 days | Nobody yet Not started | $84.50 |
| RHP100251 Silver Mesa Senior Advantage Jordan Blake, PA-C Stonebridge | No answer | Check claim status. Sent 38 days ago and Silver Mesa Senior Advantage has not answered. Check the claim status (a 276 request or the payer portal). If the payer never received it, refile before the filing limit. | Aug 28, 2027 in 325 days | Nobody yet Not started | $130.00 Not yet paid |
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- Silver Mesa Senior AdvantageDr. Victor AdeyemiRiverside OrthopedicsDenied
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 - Silver Mesa Senior AdvantageJordan Blake, PA-CStonebridgeDenied
Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause.
Assigned to Kendra HollisOpen - Tallow Creek Health PlanJordan Blake, PA-CEastgate Family CarePaid as expectedPaid twice
Review for refund. The payer paid this claim twice. Expect a recoupment, or refund the second payment.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Owen WhitakerRiverside OrthopedicsDenied
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 - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsPartially 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 - Tallow Creek Health PlanDr. Martin OseiStonebridgeUnderpaid
Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.
Assigned to nobody yetNot started - Tallow Creek Health PlanJordan Blake, PA-CRiverside OrthopedicsDenied
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 - Tallow Creek Health PlanDr. Martin OseiRiverside OrthopedicsDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsDenied
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 - Silver Mesa Senior AdvantageJordan Blake, PA-CStonebridgeNo answer
Check claim status. Sent 38 days ago and Silver Mesa Senior Advantage has not answered. Check the claim status (a 276 request or the payer portal). If the payer never received it, refile before the filing limit.
Assigned to nobody yetNot started