Work queue
18 claims with $7,708.60 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; assigned to Dana Whitfield (Mine) or nobody yet.
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 (4)
Do these this week.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP101147 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. | Oct 12, 2026 in 5 days | Nobody yet Not started | $1,050.00 |
| RHP101121 Silver Mesa Senior Advantage Dr. Tomas Varga Riverside Orthopedics | Denied | Appeal. Appeal with the visit note and any supporting records. | Oct 12, 2026 in 5 days | Nobody yet Not started | $720.00 |
| RHP100223 Silver Mesa Senior Advantage Dr. Grace Lindqvist Main Campus | Denied | Appeal. Appeal with the visit note and any supporting records. | Oct 12, 2026 in 5 days | Nobody yet Not started | $220.00 |
| RHP100221 Silver Mesa Senior Advantage Jordan Blake, PA-C Stonebridge | Denied | Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause. | Oct 12, 2026 in 5 days | Dana Whitfield In progress | $147.00 |
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- Silver Mesa Senior AdvantageDr. Victor AdeyemiRiverside OrthopedicsDenied
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 - Silver Mesa Senior AdvantageDr. Tomas VargaRiverside OrthopedicsDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageDr. Grace LindqvistMain CampusDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageJordan Blake, PA-CStonebridgeDenied
Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause.
Assigned to Dana WhitfieldIn progress
Due within 30 days (2)
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 |
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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
More than 30 days (12)
Time in hand, but money is waiting.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100523 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. | Nov 7, 2026 in 31 days | Nobody yet Not started | $1,050.00 |
| RHP100123 Silver Mesa Senior Advantage Dr. Samuel Ivers Main Campus | Partially denied | Appeal. Appeal with the visit note and any supporting records. | Nov 7, 2026 in 31 days | Nobody yet Not started | $17.00 |
| RHP100127 Silver Mesa Senior Advantage Dr. Martin Osei Main Campus | Underpaid | Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page. | Nov 7, 2026 in 31 days | Nobody yet Not started | $13.00 |
| RHP100315 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. | Nov 22, 2026 in 46 days | Nobody yet Not started | $1,365.00 |
| RHP100104 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. | Nov 22, 2026 in 46 days | Nobody yet Not started | $84.50 |
| RHP100105 Tallow Creek Health Plan Dr. Martin Osei Stonebridge | Underpaid | Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page. | Nov 22, 2026 in 46 days | Nobody yet Not started | $68.90 |
| 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 |
| RHP100731 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. | Dec 21, 2026 in 75 days | Nobody yet Not started | $1,365.00 |
| RHP100705 Tallow Creek Health Plan Dr. Martin Osei Riverside Orthopedics | Denied | Appeal. Appeal with the visit note and any supporting records. | Dec 21, 2026 in 75 days | Nobody yet Not started | $936.00 |
| RHP100143 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. | Dec 21, 2026 in 75 days | Nobody yet Not started | $84.50 |
| 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 |
| 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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- Silver Mesa Senior AdvantageDr. Victor AdeyemiRiverside OrthopedicsDenied
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 - Silver Mesa Senior AdvantageDr. Samuel IversMain CampusPartially denied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageDr. Martin OseiMain CampusUnderpaid
Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Owen WhitakerRiverside OrthopedicsDenied
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 - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsPartially 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 - Tallow Creek Health PlanDr. Martin OseiStonebridgeUnderpaid
Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.
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 PlanJordan Blake, PA-CRiverside OrthopedicsDenied
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 - Tallow Creek Health PlanDr. Martin OseiRiverside OrthopedicsDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsDenied
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 - 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. Alana ReyesMain CampusDenied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started