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 $8,938.28 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.

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 Stonebridge, Riverbend or Riverside Orthopedics; assigned to nobody yet or Dana Whitfield.

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
    $171.60
    Fernhollow Community Care
    Dr. Martin Osei
    Stonebridge
    Denied

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

    Assigned to nobody yetNot started

Due within 30 days (1)

Schedule these now so they do not become urgent.

  • Due Nov 5, 2026
    in 29 days
    $1,885.00
    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).

    Assigned to nobody yetNot started

More than 30 days (15)

Time in hand, but money is waiting.

  • Due Nov 8, 2026
    in 32 days
    $167.70
    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.

    Assigned to nobody yetNot started
  • Due Nov 8, 2026
    in 32 days
    $142.74
    Fernhollow Community Care
    Dr. Helen Park
    Riverside Orthopedics
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started
  • Due Nov 14, 2026
    in 38 days
    $171.60
    Fernhollow Community Care
    Dr. Nina Castellano
    Stonebridge
    Denied

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

    Assigned to nobody yetNot started
  • Due Nov 14, 2026
    in 38 days
    $45.24
    Fernhollow Community Care
    Dr. Helen Park
    Riverside Orthopedics
    Denied

    Appeal. Appeal with documentation supporting the number of services.

    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 22, 2026
    in 46 days
    $1,365.00
    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.

    Assigned to nobody yetNot started
  • Due Nov 22, 2026
    in 46 days
    $84.50
    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.

    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 Dec 6, 2026
    in 60 days
    $1,885.00
    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).

    Assigned to nobody yetNot started
  • Due Dec 9, 2026
    in 63 days
    $167.70
    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.

    Assigned to nobody yetNot started
  • Due Dec 18, 2026
    in 72 days
    $142.74
    Fernhollow Community Care
    Dr. Priya Raman
    Riverside Orthopedics
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $1,365.00
    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.

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $936.00
    Tallow Creek Health Plan
    Dr. Martin Osei
    Riverside Orthopedics
    Denied

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

    Assigned to nobody yetNot started
  • Due Dec 21, 2026
    in 75 days
    $84.50
    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.

    Assigned to nobody yetNot started
  • Due Dec 24, 2026
    in 78 days
    $132.60
    Fernhollow Community Care
    Dr. Martin Osei
    Stonebridge
    Denied

    Bill the correct payer. Update coverage order with the patient and bill the primary plan.

    Assigned to nobody yetNot started