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 $816.14 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 Fernhollow Community Care or Tallow Creek Health Plan; site Main Campus or Riverbend; follow-up Not started or In progress.

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

Due within 14 days (1)

Do these this week.

  • RHP100108
    Due Oct 13, 2026
    in 6 days
    $214.50
    Tallow Creek Health Plan
    Dr. Martin Osei
    Main Campus
    Denied

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

    Assigned to Lee MarshIn progress

Due within 30 days (1)

Schedule these now so they do not become urgent.

  • RHP100328
    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

More than 30 days (4)

Time in hand, but money is waiting.

  • RHP100191
    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
  • RHP101004
    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
  • RHP100744
    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
  • RHP100640
    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