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

$36,895

Paid

$31,388

Still sitting out there

$5,507

✅ PAID IN FULL

112

$29,485 received

⚠️ PAID SHORT

$782 underpaid

❌ DENIED

$1,605 at risk

🔇 NO RESPONSE

$3,120 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-731028	M. Hughes	Housing Transition Navigation	2026-08-28	$320	26 days, no response	154 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-731038	C. Lund	Medically Tailored Meals (week)	2026-08-18	$210	36 days, no response	144 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-731043	E. Vega	Housing Transition Navigation	2026-08-13	$320	41 days, no response	139 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-731095	D. Flores	Housing Deposit Assistance	2026-08-21	$450	33 days, no response	147 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-731105	K. Dawson	Housing Deposit Assistance	2026-07-03	$450	82 days, no response	98 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-731107	J. Chen	Housing Deposit Assistance	2026-07-12	$450	73 days, no response	107 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-731111	C. Brooks	Housing Deposit Assistance	2026-07-25	$450	60 days, no response	120 days	Check claim status in the Partnership portal; resubmit with confirmation proof if not on file.
CS-731115	K. Nash	Community Support Services (hr)	2026-07-21	$95	64 days, no response	116 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-731006	L. Dawson	Medically Tailored Meals (week)	2026-07-26	$210	CO-29 Filed after the timely filing window	Appeal with proof of original timely submission (portal confirmation or clearinghouse acceptance report).
CS-731021	S. Nash	Community Support Services (hr)	2026-07-12	$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.
CS-731061	R. Brooks	Housing Deposit Assistance	2026-08-01	$450	CO-197 Authorization absent or expired for this service period	Pull the member's active authorization in the Partnership portal. If it lapsed, request a retro authorization before rebilling.
CS-731067	K. Shaw	Community Support Services (hr)	2026-08-09	$95	CO-97 Bundled — payment included in another billed service	Review the same-day services; if separately payable, rebill with the correct modifier.
CS-731083	E. Meyer	Community Support Services (hr)	2026-08-19	$95	CO-97 Bundled — payment included in another billed service	Review the same-day services; if separately payable, rebill with the correct modifier.
CS-731094	D. Hughes	Medically Tailored Meals (week)	2026-07-02	$210	CO-29 Filed after the timely filing window	Appeal with proof of original timely submission (portal confirmation or clearinghouse acceptance report).
CS-731139	R. Ortiz	Housing Deposit Assistance	2026-07-30	$450	CO-29 Filed after the timely filing window	Appeal with proof of original timely submission (portal confirmation or clearinghouse acceptance report).

⚠️ 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-731010	C. Hughes	Housing Transition Navigation	2026-08-11	$320	$229	$91	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-731026	D. Flores	Housing Tenancy Sustaining	2026-08-17	$280	$188	$92	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-731049	R. Usher	Housing Transition Navigation	2026-09-08	$320	$240	$80	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-731055	L. Lund	Housing Transition Navigation	2026-07-29	$320	$195	$125	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-731063	T. Iverson	Housing Tenancy Sustaining	2026-08-23	$280	$195	$85	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-731074	M. Ward	Housing Transition Navigation	2026-08-13	$320	$245	$75	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-731075	R. Ellis	Community Support Services (hr)	2026-09-07	$95	$61	$34	Request payment correction from Partnership; rebill if contract rate confirms the gap.
CS-731104	M. Tran	Community Support Services (hr)	2026-09-02	$95	$51	$44	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.