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

17 claims with $7,561.60 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 Appeal or Send a corrected claim; follow-up Not started.

Due within 14 days (3)

Do these this week.

  • Due Oct 12, 2026
    in 5 days
    $1,050.00
    Silver Mesa Senior Advantage
    Dr. Victor Adeyemi
    Riverside Orthopedics
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Oct 12, 2026
    in 5 days
    $720.00
    Silver Mesa Senior Advantage
    Dr. Tomas Varga
    Riverside Orthopedics
    Denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started
  • Due Oct 12, 2026
    in 5 days
    $220.00
    Silver Mesa Senior Advantage
    Dr. Grace Lindqvist
    Main Campus
    Denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started

Due within 30 days (2)

Schedule these now so they do not become urgent.

  • Due Oct 31, 2026
    in 24 days
    $145.60
    Tallow Creek Health Plan
    Dr. Grace Lindqvist
    Main Campus
    Denied

    Send a corrected claim. Fix the modifier and send a corrected claim.

    Assigned to nobody yetNot started
  • Due Nov 3, 2026
    in 27 days
    $84.50
    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.

    Assigned to nobody yetNot started

More than 30 days (12)

Time in hand, but money is waiting.

  • Due Nov 7, 2026
    in 31 days
    $1,050.00
    Silver Mesa Senior Advantage
    Dr. Victor Adeyemi
    Riverside Orthopedics
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Nov 7, 2026
    in 31 days
    $17.00
    Silver Mesa Senior Advantage
    Dr. Samuel Ivers
    Main Campus
    Partially denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started
  • Due Nov 7, 2026
    in 31 days
    $13.00
    Silver Mesa Senior Advantage
    Dr. Martin Osei
    Main Campus
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Nov 22, 2026
    in 46 days
    $1,365.00
    Tallow Creek Health Plan
    Dr. Owen Whitaker
    Riverside Orthopedics
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Nov 22, 2026
    in 46 days
    $84.50
    Tallow Creek Health Plan
    Dr. Helen Park
    Riverside Orthopedics
    Partially denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Nov 22, 2026
    in 46 days
    $68.90
    Tallow Creek Health Plan
    Dr. Martin Osei
    Stonebridge
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • Due Dec 1, 2026
    in 55 days
    $145.60
    Tallow Creek Health Plan
    Dr. Samuel Ivers
    Main Campus
    Denied

    Send a corrected claim. Fix the modifier and send a corrected claim.

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $1,365.00
    Tallow Creek Health Plan
    Jordan Blake, PA-C
    Riverside Orthopedics
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $936.00
    Tallow Creek Health Plan
    Dr. Martin Osei
    Riverside Orthopedics
    Denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $84.50
    Tallow Creek Health Plan
    Dr. Helen Park
    Riverside Orthopedics
    Denied

    Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.

    Assigned to nobody yetNot started
  • Due Jul 24, 2027
    in 290 days
    $100.00
    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.

    Assigned to nobody yetNot started
  • Due Aug 27, 2027
    in 324 days
    $112.00
    Silver Mesa Senior Advantage
    Dr. Alana Reyes
    Main Campus
    Denied

    Send a corrected claim. Fix the modifier and send a corrected claim.

    Assigned to nobody yetNot started