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 matter Work queue (102)What to fix, by deadline DenialsWhy money did not arrive Awaiting paymentBilled, no answer yet Import a fileCheck and load a payer's payment file ClaimsEvery claim and its result RemittancesPayments received PayersContracts and performance Reason codesPlain language lookup OrganizationEntities, regions and sites Guided tourFive minute walkthrough

Appearance

Work queue

12 claims with $1,356.68 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 Granite Plains Mutual or Tallow Creek Health Plan; region East Region; site Main Campus or Stonebridge.

Pick as many as you like in each row. A claim shows if it matches any pick in a row, and every row.

PayerEvery payer Fernhollow Community Care Granite Plains Mutual Silver Mesa Senior Advantage Tallow Creek Health Plan

RegionEvery region East Region West Region

SiteEvery site Main Campus Jefferson Park Eastgate Family Care Stonebridge Riverbend Riverside Orthopedics

Next stepAny step Appeal Bill the correct payer Bill the patient Check claim status Research the claim Review for refund Send a corrected claim Write off

Assigned toAnyone Mine Unassigned Dana Whitfield Kendra Hollis Lee Marsh

Follow-upAny status Not started Open In progress

Due within 14 days (1)

Do these this week.

Claim	Result	Recommended	Due	Assigned to	Amount
RHP100108 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.	Oct 13, 2026 in 6 days	Lee Marsh In progress	$214.50

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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.

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

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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 (8)

Time in hand, but money is waiting.

Claim	Result	Recommended	Due	Assigned to	Amount
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
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
RHP101212 Granite Plains Mutual Dr. Samuel Ivers Main Campus	Denied	Send a corrected claim. Read the remark code, fix the field it names, and resubmit.	Jan 21, 2027 in 106 days	Nobody yet Not started	$68.44
RHP100432 Granite Plains Mutual Dr. Samuel Ivers Main Campus	Denied	Send a corrected claim. Fix the modifier and send a corrected claim.	Feb 2, 2027 in 118 days	Nobody yet Not started	$112.10
RHP100116 Granite Plains Mutual Dr. Nina Castellano Main Campus	Partially denied	Send a corrected claim. Fix the modifier and send a corrected claim.	Feb 9, 2027 in 125 days	Nobody yet Not started	$118.00
RHP100192 Granite Plains Mutual Dr. Nina Castellano Main Campus	No answer	Check claim status. Sent 39 days ago and Granite Plains Mutual 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.	Feb 23, 2027 in 139 days	Nobody yet Not started	$118.00 Not yet paid
RHP100848 Granite Plains Mutual Dr. Alana Reyes Main Campus	Denied	Send a corrected claim. Fix the modifier and send a corrected claim.	Mar 4, 2027 in 148 days	Nobody yet Not started	$112.10
RHP100154 Granite Plains Mutual Dr. Samuel Ivers Main Campus	Underpaid	Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.	Mar 28, 2027 in 172 days	Nobody yet Not started	$13.24

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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
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
RHP101212
Due Jan 21, 2027
in 106 days
$68.44
Granite Plains Mutual
Dr. Samuel Ivers
Main Campus
Denied
Send a corrected claim. Read the remark code, fix the field it names, and resubmit.
Assigned to nobody yetNot started
RHP100432
Due Feb 2, 2027
in 118 days
$112.10
Granite Plains Mutual
Dr. Samuel Ivers
Main Campus
Denied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started
RHP100116
Due Feb 9, 2027
in 125 days
$118.00
Granite Plains Mutual
Dr. Nina Castellano
Main Campus
Partially denied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started
RHP100192
Due Feb 23, 2027
in 139 days
$118.00
Not yet paid
Granite Plains Mutual
Dr. Nina Castellano
Main Campus
No answer
Check claim status. Sent 39 days ago and Granite Plains Mutual 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
RHP100848
Due Mar 4, 2027
in 148 days
$112.10
Granite Plains Mutual
Dr. Alana Reyes
Main Campus
Denied
Send a corrected claim. Fix the modifier and send a corrected claim.
Assigned to nobody yetNot started
RHP100154
Due Mar 28, 2027
in 172 days
$13.24
Granite Plains Mutual
Dr. Samuel Ivers
Main Campus
Underpaid
Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.
Assigned to nobody yetNot started

Research before posting (1)

No payer deadline, but the money cannot be posted yet: find the claim a payment belongs to, or confirm a suggested match.

Claim	Result	Recommended	Due	Assigned to	Amount
RHP100151 Granite Plains Mutual Dr. Martin Osei Main Campus	Paid as expected	Research the claim. The payer returned claim number "RHP1OO151", which is not on file. RHP100151 has the same payer, service date and charge. Confirm before posting.	None	Nobody yet Not started	$0.00

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RHP100151
No deadline
$0.00
Granite Plains Mutual
Dr. Martin Osei
Main Campus
Paid as expected
Research the claim. The payer returned claim number "RHP1OO151", which is not on file. RHP100151 has the same payer, service date and charge. Confirm before posting.
Assigned to nobody yetNot started

Post and close (1)

No payer deadline. Bill the patient for what the payer made their responsibility, or write off what the contract says the practice absorbs, with a reason.

Claim	Result	Recommended	Due	Assigned to	Amount
RHP100118 Granite Plains Mutual Dr. Nina Castellano Main Campus	Partially denied	Bill the patient. Patient responsibility (group PR): the payer refused this and made the patient responsible. The service is not covered. A remark code usually says why. Confirm the patient has no other coverage for the visit date and that any required waiver or advance notice is on file, then bill the patient.	None	Nobody yet Not started	$118.00

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RHP100118
No deadline
$118.00
Granite Plains Mutual
Dr. Nina Castellano
Main Campus
Partially denied
Bill the patient. Patient responsibility (group PR): the payer refused this and made the patient responsible. The service is not covered. A remark code usually says why. Confirm the patient has no other coverage for the visit date and that any required waiver or advance notice is on file, then bill the patient.
Assigned to nobody yetNot started