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

8 claims with $742.16 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 Fernhollow Community Care, Granite Plains Mutual or Tallow Creek Health Plan; next step Bill the patient, Write off, Research the claim or Check claim status.

More than 30 days (4)

Time in hand, but money is waiting.

  • Due Nov 11, 2026
    in 35 days
    $191.10
    Not yet paid
    Tallow Creek Health Plan
    Dr. Martin Osei
    Main Campus
    No answer

    Check claim status. Sent 53 days ago and Tallow Creek Health Plan 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
  • Due Nov 21, 2026
    in 45 days
    $122.46
    Not yet paid
    Fernhollow Community Care
    Dr. Helen Park
    Riverside Orthopedics
    No answer

    Check claim status. Sent 73 days ago and Fernhollow Community Care 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
  • Due Dec 25, 2026
    in 79 days
    $15.60
    Fernhollow Community Care
    Dr. Alana Reyes
    Eastgate Family Care
    Partially denied

    Research the claim. The payer did not return every billed line. Call the payer to find out whether the missing line is still being processed, and resubmit it if not.

    Assigned to nobody yetNot started
  • Due Feb 23, 2027
    in 139 days
    $118.00
    Not yet paid
    Granite Plains Mutual
    Dr. Nina Castellano
    Main Campus
    No answer

    Check claim status. Sent 39 days ago and Granite Plains Mutual 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

Research before posting (2)

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

  • No deadline
    $108.56
    Granite Plains Mutual
    Unmatched

    Research the claim. Find the claim in the practice system before posting this money, or it lands on the wrong account.

    Assigned to nobody yetNot started
  • 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 (2)

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
  • No deadline
    $68.44
    Granite Plains Mutual
    Dr. Helen Park
    Riverside Orthopedics
    Denied

    Write off. Contractual obligation (group CO): the payer assigned this amount to the practice, so it may not be billed to the patient; doing so is balance billing. The service is not covered. A remark code usually says why. Write it off. If the patient signed a waiver before the visit, send a corrected claim with the waiver modifier (for Medicare, GA) so the payer can reassign it to the patient; if the service was necessary, appeal instead.

    Assigned to nobody yetNot started