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

6 claims with $721.22 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: payer Granite Plains Mutual, Silver Mesa Senior Advantage or Tallow Creek Health Plan; next step Bill the patient, Write off, Review for refund 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
    $95.68
    Refund owed
    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.

    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
  • Due Aug 28, 2027
    in 325 days
    $130.00
    Not yet paid
    Silver Mesa Senior Advantage
    Jordan Blake, PA-C
    Stonebridge
    No answer

    Check claim status. Sent 38 days ago and Silver Mesa Senior Advantage 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

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