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

3 claims with $271.40 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; site Main Campus or Eastgate Family Care; next step Bill the patient, Bill the correct payer or Research the claim.

More than 30 days (1)

Time in hand, but money is waiting.

  • Due Feb 10, 2027
    in 126 days
    $153.40
    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).

    Assigned to nobody yetNot started

Research before posting (1)

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

  • 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
    $118.00
    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.

    Assigned to nobody yetNot started