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

14 claims with $7,162.50 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: region West Region; next step Bill the correct payer; follow-up Not started or In progress.

Due within 30 days (1)

Schedule these now so they do not become urgent.

  • Due Nov 5, 2026
    in 29 days
    $1,885.00
    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).

    Assigned to nobody yetNot started

More than 30 days (13)

Time in hand, but money is waiting.

  • Due Nov 8, 2026
    in 32 days
    $167.70
    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.

    Assigned to nobody yetNot started
  • Due Nov 8, 2026
    in 32 days
    $142.74
    Fernhollow Community Care
    Dr. Helen Park
    Riverside Orthopedics
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started
  • Due Dec 6, 2026
    in 60 days
    $1,885.00
    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).

    Assigned to nobody yetNot started
  • Due Dec 9, 2026
    in 63 days
    $167.70
    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.

    Assigned to nobody yetNot started
  • Due Dec 18, 2026
    in 72 days
    $142.74
    Fernhollow Community Care
    Dr. Priya Raman
    Riverside Orthopedics
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started
  • Due Dec 24, 2026
    in 78 days
    $132.60
    Fernhollow Community Care
    Dr. Martin Osei
    Stonebridge
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started
  • Due Jan 31, 2027
    in 116 days
    $215.94
    Granite Plains Mutual
    Dr. Priya Raman
    Riverside Orthopedics
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started
  • Due Feb 7, 2027
    in 123 days
    $283.20
    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).

    Assigned to nobody yetNot started
  • Due Feb 10, 2027
    in 126 days
    $215.94
    Granite Plains Mutual
    Dr. Helen Park
    Riverside Orthopedics
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started
  • Due Mar 12, 2027
    in 156 days
    $215.94
    Granite Plains Mutual
    Maya Chen, NP
    Riverside Orthopedics
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started
  • Due Jul 16, 2027
    in 282 days
    $129.00
    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.

    Assigned to nobody yetNot started
  • Due Aug 14, 2027
    in 311 days
    $1,450.00
    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).

    Assigned to nobody yetNot started
  • Due Aug 17, 2027
    in 314 days
    $129.00
    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.

    Assigned to nobody yetNot started