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

3 claims with $195.78 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: site Eastgate Family Care; next step Send a corrected claim, Review for refund or Research the claim; assigned to nobody yet or Dana Whitfield.

Due within 30 days (1)

Schedule these now so they do not become urgent.

  • 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 (2)

Time in hand, but money is waiting.

  • 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 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