Where is your Partnership HealthPlan money?

Monthly payment verification for Community Supports providers — every claim you submit, matched against every payment Partnership sends back.

Claims this cycle

140

Billed

$34,585

Paid

$27,627

Still sitting out there

$6,958

✅ PAID IN FULL

104

$25,355 received

⚠️ PAID SHORT

$1,388 underpaid

❌ DENIED

$3,125 at risk

🔇 NO RESPONSE

$2,445 in limbo

🔇 No response yet — the quiet money losers

Submitted, but no payment and no denial on file. These are the claims that silently expire past the filing deadline if nobody notices.

Claim	Member	Service	Service date	Billed	Status	Filing window left*	Next step
CS-711014	D. Tran	Housing Tenancy Sustaining	2026-06-23	$280	33 days, no response	147 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-711049	A. Ortiz	Housing Tenancy Sustaining	2026-07-05	$280	21 days, no response	159 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-711050	R. Vega	Housing Tenancy Sustaining	2026-05-03	$280	84 days, no response	96 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-711072	S. Iverson	Medically Tailored Meals (week)	2026-05-10	$210	77 days, no response	103 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-711078	M. Ortiz	Medically Tailored Meals (week)	2026-07-02	$210	24 days, no response	156 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-711113	N. Kemp	Housing Transition Navigation	2026-06-15	$320	41 days, no response	139 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-711116	J. Iverson	Housing Deposit Assistance	2026-05-21	$450	66 days, no response	114 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-711122	A. Iverson	Community Support Services (hr)	2026-05-20	$95	67 days, no response	113 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.

❌ Denied — with the reason in plain English

Every denial decoded: what the code means and exactly what to do about it.

Claim	Member	Service	Service date	Billed	Why it denied	Next step
CS-711000	J. Brooks	Community Support Services (hr)	2026-05-18	$95	CO-29 Filed after the timely filing window	Appeal with proof of original timely submission (portal confirmation or clearinghouse acceptance report).
CS-711010	E. Shaw	Housing Transition Navigation	2026-05-23	$320	CO-16 Claim lacks information (missing or invalid service authorization number)	Add the Partnership authorization number to box 23 and resubmit. Do not start over with a new claim.
CS-711038	S. Pratt	Medically Tailored Meals (week)	2026-06-07	$210	CO-97 Bundled — payment included in another billed service	Review the same-day services; if separately payable, rebill with the correct modifier.
CS-711059	D. Meyer	Housing Tenancy Sustaining	2026-07-01	$280	CO-16 Claim lacks information (missing or invalid service authorization number)	Add the Partnership authorization number to box 23 and resubmit. Do not start over with a new claim.
CS-711066	M. Jordan	Medically Tailored Meals (week)	2026-07-08	$210	CO-97 Bundled — payment included in another billed service	Review the same-day services; if separately payable, rebill with the correct modifier.
CS-711073	T. Shaw	Community Support Services (hr)	2026-06-01	$95	CO-29 Filed after the timely filing window	Appeal with proof of original timely submission (portal confirmation or clearinghouse acceptance report).
CS-711082	S. Kemp	Housing Deposit Assistance	2026-05-18	$450	CO-16 Claim lacks information (missing or invalid service authorization number)	Add the Partnership authorization number to box 23 and resubmit. Do not start over with a new claim.
CS-711088	M. Usher	Community Support Services (hr)	2026-05-09	$95	CO-16 Claim lacks information (missing or invalid service authorization number)	Add the Partnership authorization number to box 23 and resubmit. Do not start over with a new claim.

⚠️ Paid short — underpayments most providers never catch

Paid, but for less than billed. Each gap listed so you can decide whether to pursue it.

Claim	Member	Service	Service date	Billed	Paid	Gap	Next step
CS-711007	C. Ortiz	Community Support Services (hr)	2026-05-31	$95	$48	$47	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-711020	C. Grant	Community Support Services (hr)	2026-05-14	$95	$56	$39	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-711025	C. Chen	Housing Deposit Assistance	2026-06-06	$450	$306	$144	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-711034	C. Kemp	Housing Tenancy Sustaining	2026-05-10	$280	$191	$89	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-711041	C. Nash	Housing Tenancy Sustaining	2026-05-03	$280	$168	$112	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-711057	M. Ellis	Medically Tailored Meals (week)	2026-07-03	$210	$128	$82	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-711071	K. Chen	Housing Tenancy Sustaining	2026-05-09	$280	$152	$128	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-711084	T. Shaw	Housing Tenancy Sustaining	2026-05-23	$280	$159	$121	Request payment correction from Partnership; rebill if contract rate confirms the gap.

How your month would actually work

You send two things you already have
Your list of submitted claims, plus the remittance advices Partnership sends when they pay. That's it — no new software to learn.

Every payment gets matched to its claim
Each claim lands in one of four buckets: paid in full, paid short, denied, or no response.

You get this report
One page. What was billed, what was paid, what's still out there, and the exact next step for every problem claim.

Want this for your real claims?

Built by a medical biller with 10 years of experience. This demo uses sample data — your monthly report would use your actual Partnership remittances.

Email Laureen

*Filing-window figures are illustrative for demo purposes, not payer guidance. AutomatedRCM · getautomatedrcm.com · Synthetic data only — no PHI is stored or processed on this page.