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 $1,843.36 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: next step Send a corrected claim, Write off, Review for refund or Check claim status; assigned to nobody yet.

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 (14)

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 16, 2026
    in 40 days
    $45.24
    Fernhollow Community Care
    Dr. Alana Reyes
    Main Campus
    Denied

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

    Assigned to nobody yetNot started
  • Due Nov 21, 2026
    in 45 days
    $122.46
    Not yet paid
    Fernhollow Community Care
    Dr. Helen Park
    Riverside Orthopedics
    No answer

    Check claim status. Sent 73 days ago and Fernhollow Community Care 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 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 28, 2026
    in 82 days
    $74.10
    Fernhollow Community Care
    Dr. Grace Lindqvist
    Main Campus
    Denied

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

    Assigned to nobody yetNot started
  • 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
  • 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
  • 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
  • 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 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
  • 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
  • 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 (1)

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
    $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