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

6 claims with $696.08 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 Silver Mesa Senior Advantage or Tallow Creek Health Plan; site Eastgate Family Care or Stonebridge; assigned to Dana Whitfield (Mine), nobody yet or Kendra Hollis.

Due within 14 days (1)

Do these this week.

  • Due Oct 12, 2026
    in 5 days
    $147.00
    Silver Mesa Senior Advantage
    Jordan Blake, PA-C
    Stonebridge
    Denied

    Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause.

    Assigned to Dana WhitfieldIn progress

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 (4)

Time in hand, but money is waiting.

  • Due Nov 7, 2026
    in 31 days
    $170.00
    Silver Mesa Senior Advantage
    Jordan Blake, PA-C
    Stonebridge
    Denied

    Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause.

    Assigned to Kendra HollisOpen
  • 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 Nov 22, 2026
    in 46 days
    $68.90
    Tallow Creek Health Plan
    Dr. Martin Osei
    Stonebridge
    Underpaid

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

    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