Work queue
17 claims with $7,529.58 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: region East Region or West Region; next step Bill the patient, Bill the correct payer or Review for refund; assigned to nobody yet.
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 30 days (1)
Schedule these now so they do not become urgent.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100341 Tallow Creek Health Plan Dr. Tomas Varga Riverside Orthopedics | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Nov 5, 2026 in 29 days | Nobody yet Not started | $1,885.00 |
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- Tallow Creek Health PlanDr. Tomas VargaRiverside OrthopedicsDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started
More than 30 days (15)
Time in hand, but money is waiting.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100302 Tallow Creek Health Plan Dr. Priya Raman Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Nov 8, 2026 in 32 days | Nobody yet Not started | $167.70 |
| RHP101030 Fernhollow Community Care Dr. Helen Park Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Nov 8, 2026 in 32 days | Nobody yet Not started | $142.74 |
| 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 |
| RHP100757 Tallow Creek Health Plan Dr. Nina Castellano Riverside Orthopedics | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Dec 6, 2026 in 60 days | Nobody yet Not started | $1,885.00 |
| RHP100718 Tallow Creek Health Plan Dr. Helen Park Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Dec 9, 2026 in 63 days | Nobody yet Not started | $167.70 |
| RHP100614 Fernhollow Community Care Dr. Priya Raman Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Dec 18, 2026 in 72 days | Nobody yet Not started | $142.74 |
| RHP100134 Fernhollow Community Care Dr. Martin Osei Stonebridge | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Dec 24, 2026 in 78 days | Nobody yet Not started | $132.60 |
| RHP101238 Granite Plains Mutual Dr. Priya Raman Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Jan 31, 2027 in 116 days | Nobody yet Not started | $215.94 |
| RHP100445 Granite Plains Mutual Dr. Nina Castellano Stonebridge | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Feb 7, 2027 in 123 days | Nobody yet Not started | $283.20 |
| RHP100406 Granite Plains Mutual Dr. Helen Park Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Feb 10, 2027 in 126 days | Nobody yet Not started | $215.94 |
| RHP100117 Granite Plains Mutual Dr. Alana Reyes Eastgate Family Care | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Feb 10, 2027 in 126 days | Nobody yet Not started | $153.40 |
| RHP100822 Granite Plains Mutual Maya Chen, NP Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Mar 12, 2027 in 156 days | Nobody yet Not started | $215.94 |
| RHP101134 Silver Mesa Senior Advantage Maya Chen, NP Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Jul 16, 2027 in 282 days | Nobody yet Not started | $129.00 |
| RHP100549 Silver Mesa Senior Advantage Dr. Martin Osei Riverside Orthopedics | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Aug 14, 2027 in 311 days | Nobody yet Not started | $1,450.00 |
| RHP100510 Silver Mesa Senior Advantage Maya Chen, NP Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Aug 17, 2027 in 314 days | Nobody yet Not started | $129.00 |
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- Tallow Creek Health PlanDr. Priya RamanRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Helen ParkRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - 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. Nina CastellanoRiverside OrthopedicsDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Priya RamanRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Martin OseiStonebridgeDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Granite Plains MutualDr. Priya RamanRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Granite Plains MutualDr. Nina CastellanoStonebridgeDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started - Granite Plains MutualDr. Helen ParkRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Granite Plains MutualDr. Alana ReyesEastgate Family CareDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started - Granite Plains MutualMaya Chen, NPRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageMaya Chen, NPRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageDr. Martin OseiRiverside OrthopedicsDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageMaya Chen, NPRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
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.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100118 Granite Plains Mutual Dr. Nina Castellano Main Campus | Partially denied | Bill the patient. Patient responsibility (group PR): the payer refused this and made the patient responsible. The service is not covered. A remark code usually says why. Confirm the patient has no other coverage for the visit date and that any required waiver or advance notice is on file, then bill the patient. | None | Nobody yet Not started | $118.00 |
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- Granite Plains MutualDr. Nina CastellanoMain CampusPartially denied
Bill the patient. Patient responsibility (group PR): the payer refused this and made the patient responsible. The service is not covered. A remark code usually says why. Confirm the patient has no other coverage for the visit date and that any required waiver or advance notice is on file, then bill the patient.
Assigned to nobody yetNot started