Work queue
27 claims with $10,141.30 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 or Tallow Creek Health Plan; assigned to Dana Whitfield (Mine), nobody yet or Lee Marsh; follow-up Not started or Open.
Pick as many as you like in each row. A claim shows if it matches any pick in a row, and every row.
Past deadline (2)
The window has closed. Decide whether any route is left, or write it off with a reason.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP101043 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. | Oct 3, 2026 4 days ago | Nobody yet Not started | $202.80 |
| RHP101017 Fernhollow Community Care Dr. Martin Osei Stonebridge | Denied | Appeal. Appeal with the visit note and any supporting records. | Oct 3, 2026 4 days ago | Nobody yet Not started | $171.60 |
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- Fernhollow Community CareJordan Blake, PA-CEastgate Family CareDenied
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 - Fernhollow Community CareDr. Martin OseiStonebridgeDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started
Due within 30 days (3)
Schedule these now so they do not become urgent.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100328 Tallow Creek Health Plan Dr. Grace Lindqvist Main Campus | Denied | Send a corrected claim. Fix the modifier and send a corrected claim. | Oct 31, 2026 in 24 days | Nobody yet Not started | $145.60 |
| RHP100106 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. | Nov 3, 2026 in 27 days | Nobody yet Not started | $84.50 |
| RHP100341 Tallow Creek Health Plan Dr. Tomas Varga Riverside Orthopedics | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Nov 5, 2026 in 29 days | Nobody yet Not started | $1,885.00 |
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- Tallow Creek Health PlanDr. Grace LindqvistMain CampusDenied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Alana ReyesEastgate Family CarePartially 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 - Tallow Creek Health PlanDr. Tomas VargaRiverside OrthopedicsDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started
More than 30 days (22)
Time in hand, but money is waiting.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100302 Tallow Creek Health Plan Dr. Priya Raman Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Nov 8, 2026 in 32 days | Nobody yet Not started | $167.70 |
| RHP101030 Fernhollow Community Care Dr. Helen Park Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Nov 8, 2026 in 32 days | Nobody yet Not started | $142.74 |
| RHP100191 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. | Nov 11, 2026 in 35 days | Nobody yet Not started | $191.10 Not yet paid |
| RHP100627 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. | Nov 14, 2026 in 38 days | Nobody yet Not started | $202.80 |
| RHP100601 Fernhollow Community Care Dr. Nina Castellano Stonebridge | Denied | Appeal. Appeal with the visit note and any supporting records. | Nov 14, 2026 in 38 days | Nobody yet Not started | $171.60 |
| RHP100136 Fernhollow Community Care Dr. Helen Park Riverside Orthopedics | Denied | Appeal. Appeal with documentation supporting the number of services. | Nov 14, 2026 in 38 days | Nobody yet Not started | $45.24 |
| RHP101004 Fernhollow Community Care Dr. Alana Reyes Main Campus | Denied | Send a corrected claim. Read the remark code, fix the field it names, and resubmit. | Nov 16, 2026 in 40 days | Nobody yet Not started | $45.24 |
| RHP100194 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. | Nov 21, 2026 in 45 days | Nobody yet Not started | $122.46 Not yet paid |
| RHP100107 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. | Nov 21, 2026 in 45 days | Nobody yet Not started | $95.68 Refund owed |
| RHP100315 Tallow Creek Health Plan Dr. Owen Whitaker Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Nov 22, 2026 in 46 days | Nobody yet Not started | $1,365.00 |
| RHP100104 Tallow Creek Health Plan Dr. Helen Park Riverside Orthopedics | Partially denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Nov 22, 2026 in 46 days | Nobody yet Not started | $84.50 |
| RHP100105 Tallow Creek Health Plan Dr. Martin Osei Stonebridge | Underpaid | Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page. | Nov 22, 2026 in 46 days | Nobody yet Not started | $68.90 |
| RHP100744 Tallow Creek Health Plan Dr. Samuel Ivers Main Campus | Denied | Send a corrected claim. Fix the modifier and send a corrected claim. | Dec 1, 2026 in 55 days | Nobody yet Not started | $145.60 |
| RHP100757 Tallow Creek Health Plan Dr. Nina Castellano Riverside Orthopedics | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Dec 6, 2026 in 60 days | Nobody yet Not started | $1,885.00 |
| RHP100718 Tallow Creek Health Plan Dr. Helen Park Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Dec 9, 2026 in 63 days | Nobody yet Not started | $167.70 |
| RHP100614 Fernhollow Community Care Dr. Priya Raman Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Dec 18, 2026 in 72 days | Nobody yet Not started | $142.74 |
| RHP100731 Tallow Creek Health Plan Jordan Blake, PA-C Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Dec 21, 2026 in 75 days | Nobody yet Not started | $1,365.00 |
| RHP100705 Tallow Creek Health Plan Dr. Martin Osei Riverside Orthopedics | Denied | Appeal. Appeal with the visit note and any supporting records. | Dec 21, 2026 in 75 days | Nobody yet Not started | $936.00 |
| RHP100143 Tallow Creek Health Plan Dr. Helen Park Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Dec 21, 2026 in 75 days | Nobody yet Not started | $84.50 |
| RHP100134 Fernhollow Community Care Dr. Martin Osei Stonebridge | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Dec 24, 2026 in 78 days | Nobody yet Not started | $132.60 |
| RHP100135 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. | Dec 25, 2026 in 79 days | Nobody yet Not started | $15.60 |
| RHP100640 Fernhollow Community Care Dr. Grace Lindqvist Main Campus | Denied | Send a corrected claim. Fix the modifier and send a corrected claim. | Dec 28, 2026 in 82 days | Nobody yet Not started | $74.10 |
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- Tallow Creek Health PlanDr. Priya RamanRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Helen ParkRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Martin OseiMain CampusNo 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 - Fernhollow Community CareDr. Owen WhitakerEastgate Family CareDenied
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 - Fernhollow Community CareDr. Nina CastellanoStonebridgeDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Helen ParkRiverside OrthopedicsDenied
Appeal. Appeal with documentation supporting the number of services.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Alana ReyesMain CampusDenied
Send a corrected claim. Read the remark code, fix the field it names, and resubmit.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Helen ParkRiverside OrthopedicsNo 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 - Tallow Creek Health PlanJordan Blake, PA-CEastgate Family CarePaid as expectedPaid twice
Review for refund. The payer paid this claim twice. Expect a recoupment, or refund the second payment.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Owen WhitakerRiverside OrthopedicsDenied
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 - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsPartially 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 - Tallow Creek Health PlanDr. Martin OseiStonebridgeUnderpaid
Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Samuel IversMain CampusDenied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Nina CastellanoRiverside OrthopedicsDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Priya RamanRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Tallow Creek Health PlanJordan Blake, PA-CRiverside OrthopedicsDenied
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 - Tallow Creek Health PlanDr. Martin OseiRiverside OrthopedicsDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsDenied
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 - Fernhollow Community CareDr. Martin OseiStonebridgeDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Fernhollow Community CareDr. Alana ReyesEastgate Family CarePartially 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 - Fernhollow Community CareDr. Grace LindqvistMain CampusDenied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started