Riverside Family Medicine • Wilmington

Billing & Claims

LM

Billing & Claims

Manage charges, claims, patient responsibility, payments, and billing exceptions.

Tuesday, September 29, 2026
Charges today$8,42037 completed visits
Claims ready18$6,940 total
Pending claims31$14,870 outstanding
Needs attention7Documentation / payer issues
Patient balances$9,630Across 126 accounts
Payments today$3,180Insurance + patient

Claims Work Queue

Track claims from charge review through payer resolution

Claim
Patient / Visit
Payer
Amount
Status
Age
CLM-50841
David ChenSep 29 • Hypertension follow-up
Cigna
$285.00
Needs note
0 days
CLM-50840
Maria JohnsonSep 29 • Annual physical
Highmark
$410.00
Ready
0 days
CLM-50792
Nina ClarkSep 22 • Lab review
Medicare Advantage
$220.00
Submitted
7 days
CLM-50691
Kevin RossSep 15 • Medication follow-up
Aetna
$245.00
Denied
14 days
CLM-50520
Olivia MartinSep 8 • Sick visit
UnitedHealthcare
$195.00
Pending
21 days

Patient Balances

Outstanding patient responsibility requiring collection or follow-up

Open balances →
Patient
Total Balance
Current
31–60
61+ Days
Next Action
David ChenPT-10244
$40.00
$40.00
$0
$0
At checkout
›
Ava MitchellPT-10461
$35.00
$35.00
$0
$0
Due today
›
Thomas ReedPT-10072
$185.00
$0
$60.00
$125.00
Follow-up
›

Claims Aging

Outstanding insurance receivables

0–30 days$9.8k
31–60 days$3.2k
61–90 days$1.1k
90+ days$770

Billing Exceptions

Items requiring staff action

7 open
Missing provider documentation

David Chen • CLM-50841

Today
Claim denied — coding mismatch

Kevin Ross • CLM-50691

14d
Eligibility response inconsistent

Robert Hayes • Pre-bill review

Review

Payments Today

Posted payments by source

Insurance$2,420
Patients$760
Total$3,180
Fictional data • Mid-fi prototype