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

15 claims with $1,665.02 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: payer Fernhollow Community Care, Silver Mesa Senior Advantage or Tallow Creek Health Plan; site Main Campus, Jefferson Park or Eastgate Family Care; follow-up Not started or Open.

Past deadline (1)

The window has closed. Decide whether any route is left, or write it off with a reason.

  • Due Oct 3, 2026
    4 days ago
    $202.80
    Fernhollow Community Care
    Jordan Blake, PA-C
    Eastgate Family Care
    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

Due within 14 days (1)

Do these this week.

  • Due Oct 12, 2026
    in 5 days
    $220.00
    Silver Mesa Senior Advantage
    Dr. Grace Lindqvist
    Main Campus
    Denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started

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 (11)

Time in hand, but money is waiting.

  • Due Nov 7, 2026
    in 31 days
    $17.00
    Silver Mesa Senior Advantage
    Dr. Samuel Ivers
    Main Campus
    Partially denied

    Appeal. Appeal with the visit note and any supporting records.

    Assigned to nobody yetNot started
  • Due Nov 7, 2026
    in 31 days
    $13.00
    Silver Mesa Senior Advantage
    Dr. Martin Osei
    Main Campus
    Underpaid

    Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.

    Assigned to nobody yetNot started
  • 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 14, 2026
    in 38 days
    $202.80
    Fernhollow Community Care
    Dr. Owen Whitaker
    Eastgate Family Care
    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
  • 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
    $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 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
  • 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 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