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
OverviewThe numbers that matterWork queue (102)What to fix, by deadlineDenialsWhy money did not arriveAwaiting paymentBilled, no answer yetImport a fileCheck and load a payer's payment fileClaimsEvery claim and its resultRemittancesPayments receivedPayersContracts and performanceReason codesPlain language lookupOrganizationEntities, regions and sitesGuided tourFive minute walkthrough
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Work queue

6 claims with $519.20 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.

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Payments dated Aug 4, 2026 to Sep 29, 2026, as of Oct 7, 2026. Whole organization, every site.

Filtered to: payer Granite Plains Mutual; next step Send a corrected claim or Research the claim; assigned to Dana Whitfield (Mine), nobody yet or Dana Whitfield.

Pick as many as you like in each row. A claim shows if it matches any pick in a row, and every row.

PayerEvery payerFernhollow Community CareGranite Plains MutualSilver Mesa Senior AdvantageTallow Creek Health Plan
RegionEvery regionEast RegionWest Region
SiteEvery siteMain CampusJefferson ParkEastgate Family CareStonebridgeRiverbendRiverside Orthopedics
Next stepAny stepAppealBill the correct payerBill the patientCheck claim statusResearch the claimReview for refundSend a corrected claimWrite off
Assigned toAnyoneMineUnassignedDana WhitfieldKendra HollisLee Marsh
Follow-upAny statusNot startedOpenIn progress

More than 30 days (4)

Time in hand, but money is waiting.

  • RHP101212
    Due Jan 21, 2027
    in 106 days
    $68.44
    Granite Plains Mutual
    Dr. Samuel Ivers
    Main Campus
    Denied

    Send a corrected claim. Read the remark code, fix the field it names, and resubmit.

    Assigned to nobody yetNot started
  • RHP100432
    Due Feb 2, 2027
    in 118 days
    $112.10
    Granite Plains Mutual
    Dr. Samuel Ivers
    Main Campus
    Denied

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

    Assigned to nobody yetNot started
  • RHP100116
    Due Feb 9, 2027
    in 125 days
    $118.00
    Granite Plains Mutual
    Dr. Nina Castellano
    Main Campus
    Partially denied

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

    Assigned to nobody yetNot started
  • RHP100848
    Due Mar 4, 2027
    in 148 days
    $112.10
    Granite Plains Mutual
    Dr. Alana Reyes
    Main Campus
    Denied

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

    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.

  • LEGACY-55120
    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
  • RHP100151
    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