Work queue
13 claims with $6,615.60 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 Silver Mesa Senior Advantage or Tallow Creek Health Plan; next step Send a corrected claim, Bill the correct payer or Research the claim.
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 (1)
Do these this week.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100108 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. | Oct 13, 2026 in 6 days | Lee Marsh In progress | $214.50 |
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- Tallow Creek Health PlanDr. Martin OseiMain CampusDenied
Send a corrected claim. Read the remark code, fix the field it names, and resubmit.
Assigned to Lee MarshIn progress
Due within 30 days (3)
Schedule these now so they do not become urgent.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100328 Tallow Creek Health Plan Dr. Grace Lindqvist Main Campus | Denied | Send a corrected claim. Fix the modifier and send a corrected claim. | Oct 31, 2026 in 24 days | Nobody yet Not started | $145.60 |
| RHP100106 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. | Nov 3, 2026 in 27 days | Nobody yet Not started | $84.50 |
| 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. Grace LindqvistMain CampusDenied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Alana ReyesEastgate Family CarePartially 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 - 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 (9)
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 |
| RHP100744 Tallow Creek Health Plan Dr. Samuel Ivers Main Campus | Denied | Send a corrected claim. Fix the modifier and send a corrected claim. | Dec 1, 2026 in 55 days | Nobody yet Not started | $145.60 |
| 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 |
| 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 |
| RHP101108 Silver Mesa Senior Advantage Dr. Grace Lindqvist Main Campus | Denied | Send a corrected claim. Read the remark code, fix the field it names, and resubmit. | Jul 24, 2027 in 290 days | Nobody yet Not started | $100.00 |
| 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 |
| RHP100536 Silver Mesa Senior Advantage Dr. Alana Reyes Main Campus | Denied | Send a corrected claim. Fix the modifier and send a corrected claim. | Aug 27, 2027 in 324 days | Nobody yet Not started | $112.00 |
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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 - Tallow Creek Health PlanDr. Samuel IversMain CampusDenied
Send a corrected claim. Fix the modifier and send a corrected claim.
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 - 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. Grace LindqvistMain CampusDenied
Send a corrected claim. Read the remark code, fix the field it names, and resubmit.
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 - Silver Mesa Senior AdvantageDr. Alana ReyesMain CampusDenied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started