MLE Billing

AI billing assistant

Hi! I'm MLE Billing, your AI billing assistant. I can help you with:

Code suggestions based on SOAP notes
Understanding denial reasons
Payer-specific billing rules
Optimizing claim submissions

Why CARC 45? Suggest codes Reduce denials Billing tips

Billing Alerts 78

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Expired Insurance: Kenji Watanabe

Expired Insurance - Kenji Watanabe

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Expired Insurance: Ifeoma Oyelaran

Expired Insurance - Ifeoma Oyelaran

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URGENT: Timely Filing Risk - Kenji Watanabe...

Upcoming Timely Filing - Kenji Watanabe

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URGENT: Timely Filing Risk - Elena Marchetti...

Upcoming Timely Filing - Elena Marchetti

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URGENT: Timely Filing Risk - Fatima Bourhim...

Upcoming Timely Filing - Fatima Bourhim Sattar

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URGENT: Timely Filing Risk - Ingrid Halvorsen...

Upcoming Timely Filing - Ingrid Halvorsen

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URGENT: Timely Filing Risk - Ifeoma Oyelaran...

Upcoming Timely Filing - Ifeoma Oyelaran

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Unbilled Encounter: Nadia Volkov 03/30/202...

Unbilled Encounter - Nadia Volkov

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Unbilled Encounter: Desmond Okafor 03/3...

Unbilled Encounter - Desmond Okafor

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Unbilled Encounter: Elena Marchetti 04/15...

Unbilled Encounter - Elena Marchetti

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Unbilled Encounter: Fatima Bourhim 04/23/2...

Unbilled Encounter - Fatima Bourhim Sattar

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Unbilled Encounter: Fatima Bourhim 04/23/2...

Unbilled Encounter - Fatima Bourhim Sattar

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Unbilled Encounter: Simone Fournier 04/23/2026

Unbilled Encounter - Angela Davis

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Unbilled Encounter: Omar Haddad 04/30/2...

Unbilled Encounter - Omar Haddad

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Unbilled Encounter: Ifeoma Oyelaran 05/04/...

Unbilled Encounter - Ifeoma Oyelaran

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Unbilled Encounter: Michael Jones 05/0...

Unbilled Encounter - Michael Jones

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Unbilled Encounter: Ingrid Halvorsen 05/22/...

Unbilled Encounter - Linda Hill

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Unbilled Encounter: Nadia Volkov ...

Unbilled Encounter - Nadia Volkov

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Unbilled Encounter: Nadia Volkov ...

Unbilled Encounter - Nadia Volkov

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Unbilled Encounter: Ifeoma Oyelaran 06/04/20...

Unbilled Encounter - Ifeoma Oyelaran

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Unbilled Encounter: Yuki Tanaka 06/07/...

Unbilled Encounter - Yuki Tanaka

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Unbilled Encounter: Michael Jones 06/0...

Unbilled Encounter - Michael Jones

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Unbilled Encounter: Simone Fournier 06/09/2026

Unbilled Encounter - Angela Davis

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Unbilled Encounter: Michael Jones 03/22/20...

Unbilled Encounter - Michael Jones

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Unbilled Encounter: Omar Haddad 03/22/202...

Unbilled Encounter - Omar Haddad

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Unbilled Encounter: Colin Beckwith 03/...

Unbilled Encounter - Yuki Tanaka

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Unbilled Encounter: Desmond Okafor 03/21/20...

Unbilled Encounter - Desmond Okafor

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Unbilled Encounter: Michael Jones 03/21/20...

Unbilled Encounter - Michael Jones

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Unbilled Encounter: Sarah Lopez 03/21/20...

Unbilled Encounter - Sarah Lopez

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Unbilled Encounter: Sarah Lopez 03/22/20...

Unbilled Encounter - Sarah Lopez

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Unbilled Encounter: Tobias Lindqvist 12/24/2...

Unbilled Encounter - Tobias Lindqvist

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Unbilled Encounter: Tobias Lindqvist 12/24/2...

Unbilled Encounter - Tobias Lindqvist

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Unbilled Encounter: Angela Davis 12/24/...

Unbilled Encounter - Angela Davis

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Unbilled Encounter: Angela Davis 12/24/...

Unbilled Encounter - Angela Davis

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Unbilled Encounter: Aisha Karimova 12...

Unbilled Encounter - Aisha Karimova

71 unbilled encounters (3 with charges, 5 need charges entered) Show archived (200)

Search:

Date	Patient	Provider	Insurance	Charges	Status	Type	Age
08/05/2026	Chandran, Ravi	Develop	Contoso Care Other HCFA	No charges	Not validated	Original	3d/90
07/31/2026	Lindqvist, Tobias	Administrator	Relecloud Mutual Point of Service (POS)	$50.00	Not validated	Original	8d/180
07/29/2026	Volkov, Nadia	Administrator	COHO CARE Health Maintenance Organization	$40.00	Not validated	Original	10d/90
07/29/2026	Delgado, Camila	Administrator	Trey Coverage Point of Service (POS)	$20.00	Not validated	Original	10d/90
07/24/2026	Villanueva, Mateo	Tester	Lamna Assurance Point of Service (POS)	No charges	Not validated	Original	15d/90
07/24/2026	Villanueva, Mateo	Tester	Lamna Assurance Point of Service (POS)	No charges	Not validated	Original	15d/90
07/23/2026	Tanaka, Yuki	Tester	LAMNA ASSURANCE Other HCFA	No charges	Not validated	Original	16d/180
07/23/2026	Tanaka, Yuki	Tester	LAMNA ASSURANCE Other HCFA	No charges	Not validated	Original	16d/180

Showing 1 to 8 of 8 entries

Showing 1-8 of 8

1

Validation Failed

5

Ready to Submit

11

Pending Response

2

Rejected/Denied

1143

Paid

Claims with Validation Errors

Fix these before submitting

Search:

Date	Patient	Payer	Charges	Errors	Actions
09/24/2024	Jones, Michael	NORTHWIND HEALTH	$120.00	2 errors

Showing 1 to 1 of 1 entries

Claims Ready to Submit

Search:

Date	Patient	Charges	Insurance Coverage
06/29/2026	Jones, Michael 837P	$140.00	Pri: Northwind Health (Point of Service (POS)) Sec: None
05/15/2026	Halvorsen, Ingrid 837P	$105.00	Pri: WOODGROVE BENEFITS Sec: None
04/23/2026	Bourhim, Fatima 837P	$110.00	Pri: Trey Coverage (Point of Service (POS)) Sec: None
03/30/2026	Watanabe, Kenji 837P	$140.00	Pri: Contoso Care (Other HCFA) Sec: None
11/16/2024	Oyelaran, Ifeoma 837P	$50.00	Pri: ALPINE HEALTH (Other HCFA) Sec: CONTOSO CARE (Health Maintenance Organization) Ter: None

Showing 1 to 5 of 5 entries

Awaiting Response

All 11 Sent - awaiting ack9 Clearinghouse OK 2 Payer Accepted 0 Payer Reviewing 0 Bill Next Payer 0 9 with no ack >5d

Search:

Date	Patient	Payer	Charges	Submitted	Batch	Status	Last Response	Days
05/15/2026	Fournier, Simone 837P	Coho Care	$90.00	07/01/2026 Paper (PDF)	CMS-1500 PDF	Submitted	Paper CMS-1500 (PDF) generated for printing	37d no ack
04/23/2026	Lopez, Sarah 837P	ACME Health Plan	$90.00	05/12/2026 Paper (PDF)	CMS-1500 PDF	Submitted	Paper CMS-1500 (PDF) generated for printing	88d no ack
04/16/2026	Okafor, Desmond 837P	ALPINE HEALTH	$90.00	05/12/2026 Paper (PDF)	CMS-1500 PDF	Submitted	Paper CMS-1500 (PDF) generated for printing	88d no ack
04/10/2026	Marchetti, Elena 837P	Globex Mutual	$225.00	05/19/2026 Paper (PDF)	CMS-1500 PDF	Submitted	Paper CMS-1500 (PDF) generated for printing	80d no ack
03/30/2026	Davis, Angela 837P	Globex Mutual	$50.00	03/30/2026 Paper (PDF)	CMS-1500 PDF	Submitted	Paper CMS-1500 (PDF) generated for printing	130d no ack
03/27/2026	Oyelaran, Ifeoma 837P	ALPINE HEALTH	$100.00	05/01/2026 Electronic	Batch 7379545	File Accepted	Clearinghouse accepted file 05/15/2026	98d
02/18/2026	Oyelaran, Ifeoma 837P	Alpine Health	$30.00	06/29/2026 Paper (PDF)	CMS-1500 PDF	Submitted	Paper CMS-1500 (PDF) generated for printing	39d no ack
01/30/2026	Marchetti, Elena 837P	GLOBEX MUTUAL	$40.00	07/01/2026 Paper (PDF)	CMS-1500 PDF	Submitted	Paper CMS-1500 (PDF) generated for printing 03/23/2026	37d no ack
01/30/2026	Okafor, Desmond 837P	ALPINE HEALTH	$30.00	07/02/2026 Paper (TXT)	Batch 1762039	Submitted	Paper CMS-1500 (TXT) generated for printing 03/29/2026	36d no ack
12/30/2025	Villanueva, Mateo 837P	Lamna Assurance	$80.00	05/22/2026 Paper (PDF)	CMS-1500 PDF	File Accepted	Clearinghouse accepted file 05/22/2026	77d
12/30/2025	Volkov, Nadia 837P	COHO CARE	$130.00	07/02/2026 Manual	Batch 1762039	Submitted	X12 (.edi) file generated for manual clearinghouse upload 03/29/2026	36d no ack

Showing 1 to 11 of 11 entries

Rejected & Denied Claims

Search:

	Date	Patient	Payer	Charges	Status	Reason	Actions
	12/30/2025	Karimova, Aisha	BELLOWS ALLIANCE	$90.00	Denied	Guard 081: restored from corrupted ready state (wa
	02/09/2026	Davis, Angela	Globex Mutual	$100.00	Denied	Paper CMS-1500 (PDF) generated for printing

Showing 1 to 2 of 2 entries

Claims On Hold

These claims are excluded from batch submission

No claims on hold

Patient Balances

Current (0-30)

$38,035.10

491 accts

31-60 Days

$22,610.05

305 accts

61-90 Days

$243.91

3 accts

Over 90

$2,517.10

31 accts

Partial Pay

$61,181.16

804 accts

Collected (30d)

$0.00

1 paid

Total Outstanding: $63,406.16| Click "Sync Payments" to update from OpenEMR ledger.

99 patients need a new statement - highlighted in yellow below. Send via email or print to mail.

Search:

Patient	# Visits	# Stmts	Last Sent	Oldest	Patient Owes
Oyelaran, Ifeoma PARTIAL NEW	4	9	06/29/2026	189d	$226.00
Oyelaran, Ifeoma PARTIAL NEW	6	4	03/30/2026	188d	$765.80
Volkov, Nadia PARTIAL NEW nadia.volkov@example.com	4	0	Never	150d	$468.00 +$110.00 pending ins
Watanabe, Kenji SELF-PAY NEW kenji.watanabe@example.com	2	0	Never	131d	$156.60 +$100.00 pending ins
Nwosu, Amara PARTIAL NEW amara.nwosu@example.com	3	0	Never	115d	$194.51
Marchetti, Elena PT RESP NEW elena.marchetti@example.com	1	0	Never	115d	$50.00 +$175.00 pending ins
Bourhim, Fatima PARTIAL NEW	3	0	Never	107d	$91.85 +$110.00 pending ins
Okafor, Desmond PARTIAL NEW desmond.okafor@example.com	4	0	Never	102d	$298.15 +$55.00 pending ins

Showing 1 to 8 of 8 entries

Page 1 - 100 shown

Completed Claims

Paid in Full

16

Adjusted

0

Written Off

0

Credit/Overpay

0

Search:

Patient	Encounter	Processed	Statements	Payment Date	Billed	Paid	Adjusted	Balance	Status
Volkov, Nadia	07/27/2026	07/07/2026	-	08/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Feldstein, Naomi	07/20/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Watanabe, Kenji	07/23/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Watanabe, Kenji	07/23/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Jones, Michael	07/24/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Watanabe, Kenji	07/13/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Watanabe, Kenji	07/23/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Marchetti, Elena	07/13/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Lindqvist, Tobias	07/17/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Raman, Priya	07/10/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Raman, Priya	07/23/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Lopez, Sarah	07/16/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Haddad, Omar	07/14/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Haddad, Omar	07/17/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Feldstein, Naomi	07/15/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full
Jones, Michael	07/15/2026	07/07/2026	-	07/07/2026	$0.00	$0.00	$0.00	$0.00	Paid in Full

Showing 1 to 16 of 16 entries

Period:

	Date	Payer	Patient	PCN	Service Date	Billed	Paid	Adj	Pt Resp	Check #	Status
	03/22/2026	COHO CARE	Volkov, Nadia	145-501	12/30/2025	$130.00	$105.00	$25.00	$0.00	TESTCHECK001	Ready
	03/22/2026	ALPINE HEALTH	Okafor, Desmond	490-90073	01/15/2026	$30.00	$25.00	$5.00	$0.00	TESTCHECK001	Ready
	03/22/2026	ACME HEALTH PLAN	Lopez, Sarah	457-1569	03/01/2026	$60.00	$48.00	$12.00	$0.00	TESTCHECK001	Ready
	03/22/2026	GLOBEX MUTUAL	Marchetti, Elena	190-90062	02/10/2026	$40.00	$30.00	$10.00	$0.00	TESTCHECK001	Ready
		LAMNA ASSURANCE	Tanaka, Yuki	123-426	03/05/2026	$60.00	$48.00	$9.00	$3.00	EFT4825963	Ready
		COHO CARE	Volkov, Nadia	145-501	12/30/2025	$130.00	$104.00	$19.50	$6.50	EFT4825935	Ready
		ALPINE HEALTH	Okafor, Desmond	490-90073	01/30/2026	$30.00	$24.00	$4.50	$1.50	EFT4825935	Ready
		ALPINE HEALTH	Oyelaran, Ifeoma	320-90091	03/27/2026	$100.00	$80.00	$15.00	$5.00	EFT4825923	Ready
		SOUTHRIDGE ADVANTAGE HEALTH	Beckwith, Colin	PAT001	01/31/2026	$150.00	$120.00	$22.50	$7.50	EFT4823082	Ready
Totals:						$730.00	$584.00	$122.50	$23.50

Page 1 - 9 shown

Patient

Encounter

Payer

Check / EFT #

Check Date

Paid + Adjustment post to the ledger (payer_type=1, same as ERA). Pt Resp routes the remainder to patient statements. CARC examples: 45 (contractual), PR1 (deductible), PR2 (coinsurance), PR3 (copay).

Posted Payments

Daily Collections Report

Search:

Posted	Patient	DOS	Payer	Payment	Memo
07/31 12:06pm	Lindqvist, Tobias	07/22/2026	Patient - original	-$50.00 refund	Refund issued - Overpayment
07/31 11:53am	Lindqvist, Tobias	07/22/2026	Patient - cash	+$8.35	Account credit applied
07/31 11:53am	Lindqvist, Tobias	07/06/2026	Patient - cash	+$41.65	Account credit applied
07/31 11:49am	Lindqvist, Tobias	07/06/2026	Patient - cash	+$50.00	Account credit applied
07/31 11:42am	Lindqvist, Tobias	07/06/2026	Patient - original	-$20.00 refund	Refund issued - Overpayment
07/29 11:55am	Volkov, Nadia	06/29/2026	Patient - cash	+$40.00	Account credit applied
07/29 11:45am	Delgado, Camila	07/14/2026	Patient - cash	+$20.00	Account credit applied
07/29 11:33am	Watanabe, Kenji	07/10/2026	Patient - credit card	+$60.00	Account credit applied

Page 1 of 41 - 2,048 records

Claims Requiring Follow-up

Okafor, Desmond Enc #90103 No Response 131d

Submitted to Self-Pay - no response in 131 days

Davis, Angela Enc #90100 No Response 131d

Submitted to Globex Mutual - no response in 131 days

Okafor, Desmond Enc #90121 No Response 88d

Submitted to ALPINE HEALTH - no response in 88 days

Lopez, Sarah Enc #90128 No Response 88d

Submitted to ACME Health Plan - no response in 88 days

Marchetti, Elena Enc #90116 No Response 81d

Submitted to Globex Mutual - no response in 81 days

Oyelaran, Ifeoma Enc #90074 No Response 40d

Submitted to Alpine Health - no response in 40 days

Fournier, Simone Enc #90271 No Response 38d

Submitted to Coho Care - no response in 38 days

Marchetti, Elena Enc #90062 No Response 38d

Submitted to GLOBEX MUTUAL - no response in 38 days

Volkov, Nadia Enc #501 No Response 37d

Submitted to COHO CARE - no response in 37 days

Okafor, Desmond Enc #90073 No Response 37d

Submitted to ALPINE HEALTH - no response in 37 days

Raman, Priya Enc #103526 Partial 39d

Partial - $247.00 remaining from RELECLOUD MUTUAL

priya.raman@example.com

Haddad, Omar Enc #103640 Partial 36d

Partial - $198.80 remaining from WOODGROVE BENEFITS

omar.haddad@example.com

Nwosu, Amara Enc #103773 Partial 31d

Partial - $207.80 remaining from Bellows Alliance

amara.nwosu@example.com

Watanabe, Kenji Enc #103738 Partial 31d

Partial - $195.20 remaining from CONTOSO CARE

kenji.watanabe@example.com

Estrada, Bruno Enc #103780 Partial

Partial - $230.10 remaining from RELECLOUD MUTUAL

bruno.estrada@example.com

Hill, Linda Enc #103807 Partial

Partial - $196.10 remaining from CONTOSO CARE

linda.hill@example.com

Haddad, Omar Enc #103898 Partial

Partial - $229.70 remaining from Woodgrove Benefits

omar.haddad@example.com

Oyelaran, Ifeoma Enc #103884 Partial

Partial - $187.20 remaining from Alpine Health

ifeoma.oyelaran@example.com

Raman, Priya Enc #103966 Partial

Partial - $222.50 remaining from Self-Pay

dadams@example.com

Watanabe, Kenji Enc #103989 Partial

Partial - $188.65 remaining from CONTOSO CARE

kenji.watanabe@example.com

Karimova, Aisha Enc #104054 Partial

Partial - $234.85 remaining from Self-Pay

aisha.karimova@example.com

Nwosu, Amara Enc #104041 Partial

Partial - $220.75 remaining from Bellows Alliance

amara.nwosu@example.com

Oyelaran, Ifeoma Enc #104099 Partial

Partial - $237.90 remaining from Alpine Health

ifeoma.oyelaran@example.com

Raman, Priya Enc #104136 Partial

Partial - $191.75 remaining from RELECLOUD MUTUAL

priya.raman@example.com

Marchetti, Elena Enc #104272 Partial

Partial - $219.70 remaining from GLOBEX MUTUAL

elena.marchetti@example.com

Salgado, Hector Enc #90036 Overpaid 240d

Overpaid by $100.00 from Self-Pay - refund or apply to balance

Halvorsen, Ingrid Enc #90031 Overpaid 235d

Overpaid by $200.00 from Self-Pay - refund or apply to balance

Halvorsen, Ingrid Enc #90014 Overpaid 225d

Overpaid by $116.00 from Self-Pay - refund or apply to balance

Bourhim, Fatima Enc #90035 Overpaid 205d

Overpaid by $180.00 from Self-Pay - refund or apply to balance

Halvorsen, Ingrid Enc #90022 Overpaid 195d

Overpaid by $66.00 from Self-Pay - refund or apply to balance

Villanueva, Mateo Enc #100004 Overpaid 68d

Overpaid by $245.00 from Lamna Assurance - refund or apply to balance

Halvorsen, Ingrid Enc #100049 Overpaid 66d

Overpaid by $50.00 from Woodgrove Benefits - refund or apply to balance

Chandran, Ravi Enc #100119 Overpaid 60d

Overpaid by $50.00 from CONTOSO CARE - refund or apply to balance

Villanueva, Mateo Enc #100150 Overpaid 59d

Overpaid by $245.00 from Lamna Assurance - refund or apply to balance

Fournier, Simone Enc #100149 Overpaid 59d

Overpaid by $50.00 from COHO CARE - refund or apply to balance

Villanueva, Mateo Enc #100245 Overpaid 52d

Overpaid by $245.00 from Lamna Assurance - refund or apply to balance

Feldstein, Naomi Enc #100259 Overpaid 51d

Overpaid by $50.00 from Globex Mutual - refund or apply to balance

Oyelaran, Ifeoma Enc #100289 Overpaid 50d

Overpaid by $50.00 from Alpine Health - refund or apply to balance

Jones, Michael Enc #100335 Overpaid 46d

Overpaid by $70.00 from Northwind Health - refund or apply to balance

Villanueva, Mateo Enc #100342 Overpaid 45d

Overpaid by $245.00 from Lamna Assurance - refund or apply to balance

Adjustments

No adjustment data yet.

Denials

No denials found.

Date Range:

Charges Posted

$110,485.00

506 encounters

Payments Received

$84,360.00

76.4% cash flow ratio

Insurance Received

$65,277.35

77% of payments

Patient Received

$19,082.65

Copays + self-pay

Adjustments

$13,847.00

12.5% write-off

Total A/R

$57,436.58

Open balances

vs Prior Period Billed ↑ $8,090 Collected ↓ $4,246 Rate ↓ 8.6% Adj ↓ $12,758 Volume ↓ 65.0 visits

Billed vs Collected

Top CPT Codes by Revenue Last 30 Days

Code	Description	Count	Revenue	% of Total	Avg Fee
99214	Office Visit, Established - Detailed	201	$20,100.00	18%	$100.00
99213	Est patient E/M	228	$17,100.00	15%	$75.00
97124	Massage Therapy	123	$14,640.00	13%	$119.02
98942	CMT 5 regions	161	$12,075.00	11%	$75.00
98941	CMT 3-4 regions	175	$10,500.00	9%	$60.00
99204	Office Visit - New, moderate	42	$10,500.00	9%	$250.00
97140	Manual therapy	102	$10,200.00	9%	$100.00
98940	CMT 1-2 regions	166	$8,300.00	7%	$50.00
99203	New patient E&M low	32	$4,800.00	4%	$150.00
97012	Mechanical traction	100	$4,000.00	4%	$40.00
Total		1,330	$112,215.00		$84.37

MLE Billing Insights Based on current billing data

Collections

Collection rate is 76.4%

Below 80% target. $26,125.00 billed but uncollected in the last 30 days. Review the Attention tab for aging claims and unpaid balances.

Workflow

71 unbilled encounters

Claims waiting to be submitted. Submitting within 48-72 hours reduces timely filing risk.

ERA

9 unposted ERA remittances

Payment data from payers is waiting to be posted.

Follow-up

40 claims need attention

10 with no payer response, 15 overpaid ($1,962.00 in credits)

Archived Encounters archived from Unbilled, with reason

1750 records

Search:

Archived	By	Patient	DOS	Encounter	Payer	Charges	Reason
08/05/2026	System	Jones, Michael	05/04/2026	90268	Northwind Health	$0.00	Auto-archived: exceeded 90-day billing window
08/05/2026	System	Haddad, Omar	04/30/2026	90267	Woodgrove Benefits	$0.00	Auto-archived: exceeded 90-day billing window
08/05/2026	System	Oyelaran, Ifeoma	05/04/2026	90266	ALPINE HEALTH	$0.00	Auto-archived: exceeded 90-day billing window
07/24/2026	System	Davis, Angela	04/23/2026	90133	Globex Mutual	$0.00	Auto-archived: exceeded 90-day billing window
07/24/2026	System	Bourhim, Fatima Sattar	04/23/2026	90131	Trey Coverage	$0.00	Auto-archived: exceeded 90-day billing window
07/24/2026	System	Bourhim, Fatima Sattar	04/23/2026	90130	Trey Coverage	$110.00	Auto-archived: exceeded 90-day billing window
07/24/2026	System	Bourhim, Fatima Sattar	04/23/2026	90129	Trey Coverage	$0.00	Auto-archived: exceeded 90-day billing window
07/15/2026	System	Marchetti, Elena	04/16/2026	90118	GLOBEX MUTUAL	$50.00	Auto-archived: exceeded 90-day billing window
07/14/2026	System	Marchetti, Elena	04/15/2026	90117	Globex Mutual	$0.00	Auto-archived: exceeded 90-day billing window
07/03/2026	System	Feldstein, Naomi	08/27/2023	104321	Globex Mutual	$0.00	Auto-archived: exceeded 90-day billing window

Showing 1 to 10 of 10 entries

Loading more...

Aged Claims all claims older than 180 days - history, not archived

47 records

Search:

Date	Patient	Encounter	Payer	Charged	Paid	Adjusted	Balance	Status
02/09/2026	Davis, Angela	90049	Globex Mutual	$0.00	$0.00	$0.00	$0.00	Denied
02/07/2026	Fournier, Simone	90065	Coho Care	$0.00	$0.00	$0.00	$0.00	Patient resp
02/03/2026	Volkov, Nadia	90003	COHO CARE	$0.00	$0.00	$0.00	$0.00	Partial
02/03/2026	Hill, Linda	90067	CONTOSO CARE	$0.00	$0.00	$0.00	$0.00	Partial
02/02/2026	Bourhim, Fatima	90001	Self-Pay	$0.00	$0.00	$0.00	$0.00	Paid
02/01/2026	Oyelaran, Ifeoma	90063	ALPINE HEALTH	$0.00	$0.00	$0.00	$0.00	Partial
02/01/2026	Oyelaran, Ifeoma	839	ALPINE HEALTH	$0.00	$0.00	$0.00	$0.00	Partial
02/01/2026	Delgado, Camila	90002	Self-Pay	$0.00	$0.00	$0.00	$0.00	Paid
01/31/2026	Davis, Angela	90050	GLOBEX MUTUAL	$0.00	$0.00	$0.00	$0.00	Paid
01/31/2026	Oyelaran, Ifeoma	90004	ALPINE HEALTH	$0.00	$0.00	$0.00	$0.00	Patient resp

Showing 1 to 10 of 10 entries

Starting Tab

Which tab MLE Billing opens on when you load the page. This is your personal setting - it doesn't affect other users.

Open on

Stat Card Timeframe

Period

Controls the period shown on Charges Posted, Payments Received, and Adjustments cards.

Payer Configuration

Filing deadlines, submission methods, and notes requirements per payer.

Default Filing Window

days

Payer ID	Payer	CMS ID	Filing	Status
`111`	ACME Health Plan	`60054`	d	Set
`90128`	Humongous Insurance	-	d	Default
`104`	VANDELAY INSURANCE	`62308`	d	Set
`110`	CONTOSO CARE	`75273`	d	Set
`105`	Globex Mutual	`54771`	d	Set
`108`	PROSEWARE BENEFITS	`54771`	d	Set
`112`	INITECH BENEFITS	`61101`	d	Default
`107`	STATECARE ASSIST	`SKPA0`	d	Set
`106`	GOVCARE FEDERAL	`CMS`	d	Set
`7`	N-Able Prime	`21275`	d	Default
`101`	Umbrella Assurance	`54771`	d	Set
`90127`	Tailspin Health	`123`	d	Default
`90126`	Wingtip Coverage	`123456`	d	Default
`103`	Northwind Health	`87726`	d	Set
`102`	Fabrikam Health	`23281`	d	Set

Last Fetch 2026-07-15 14:41:33

Status Fetched 0 file(s) from 1 partner(s)

Files 0

Clearinghouse Partners

Configure SFTP credentials and file paths for each clearinghouse partner below.

N-Able Clearhousing

SFTP ready

SFTP Host

Port

Username

Password (saved)

Remote Response Path

Local Staging Folder

Fetch Schedule

Auto-Fetch Interval

Daily Fetch Time

File Handling

Delete from SFTP After Download

Archive Local Copies

Auto-saves on change

Recent Processing History

File	Type	Claims	Processed
999_2026-05-19-165942-batch-p2_20260519210522.x12	999	1	2026-05-22 14:52:10
277CA_2026-05-19-165942-batch-p2_20260519210525.x12	277CA	1	2026-05-22 14:52:10
999_2026-05-15-144806-batch-p2_20260515184855.x12	999	1	2026-05-18 15:52:58
835_2026-05-15-144806-batch-p2_20260515184906.x12	835	1	2026-05-18 15:52:58
277CA_2026-05-15-144806-batch-p2_20260515184858.x12	277CA	1	2026-05-18 15:52:58
999_2026-05-01-175041-batch-p2_20260501215118.x12	999	1	2026-05-15 14:48:26
999_2026-05-01-174615-batch-p2_20260501214718.x12	999	1	2026-05-15 14:48:26
835_2026-05-01-175041-batch-p2_20260501215129.x12	835	1	2026-05-15 14:48:26
277CA_2026-05-01-175041-batch-p2_20260501215121.x12	277CA	1	2026-05-15 14:48:26
277CA_2026-05-01-174615-batch-p2_20260501214721.x12	277CA	1	2026-05-15 14:48:26
999_2026-04-16-001412-batch-p2_20260416042130.x12	999	1	2026-04-16 01:43:43
835_2026-04-16-001412-batch-p2_20260416042141.x12	835	1	2026-04-16 01:43:43
277CA_2026-04-16-001412-batch-p2_20260416042133.x12	277CA	1	2026-04-16 01:43:43
README.txt	835	0	2026-04-11 19:36:23
20260201_769976011_2121221_3.html	835	0	2026-04-11 19:36:23
20260201_769976011_2121221_1.html	835	0	2026-04-11 19:36:23
20260201_769976011_2121221.html	835	0	2026-04-11 19:36:23
999_2026-03-30-231906-batch-p2_20260331032053.x12	999	1	2026-03-30 23:24:20
835_2026-03-30-231906-batch-p2_20260331032104.x12	835	1	2026-03-30 23:24:20
277CA_2026-03-30-231906-batch-p2_20260331032056.x12	277CA	1	2026-03-30 23:24:20

CMS-1500 Calibration

Adjust field positions, font size, and printer offset so text aligns with your pre-printed red CMS-1500 forms.

Self-Pay Discount

Auto-discount for self-pay patients. Fees matching the discounted amount won't require fee override approval.

Discount Type

Code Manager

Fee schedule, internal codes, and orphan detection in one place. Add new CPT/HCPCS codes, edit fees (syncs to both stores), and see which codes are billable vs. internal.

Fee Override Approvers

Users authorized to approve fee changes when a service fee differs from the fee schedule.

Roselynn Develop (NPI: 1000000005)

Copeland Tester (NPI: 1000000013)

Submission Lag by Payer

Average days from date of service to claim submission. Identifies workflow bottlenecks.

Payer	Claims	Avg Days to Submit	Min	Max	Filing Deadline	Margin
Fabrikam Health	46	5.6d	1d	131d	120d	114d buffer
Northwind Health	42	5.2d	1d	142d	90d	85d buffer
CONTOSO CARE	33	3.4d	0d	35d	90d	87d buffer
ACME Health Plan	39	2.9d	0d	39d	90d	87d buffer
Self Pay	2	2.5d	2d	3d	90d	88d buffer
Umbrella Assurance	33	2.4d	1d	19d	180d	178d buffer
Tailspin Health	4	2.3d	1d	3d	90d	88d buffer
GOVCARE FEDERAL	52	2.1d	0d	10d	365d	363d buffer
PROSEWARE BENEFITS	27	2d	0d	7d	180d	178d buffer
INITECH BENEFITS	40	2d	1d	3d	90d	88d buffer
STATECARE ASSIST	30	2d	0d	3d	180d	178d buffer
VANDELAY INSURANCE	41	1.9d	1d	3d	90d	88d buffer

Fee Override Log

No fee overrides in the last 90 days.

Billing Audit Log

11 records matched

From

Action

User

Patient ID

Reset

When	Action	User	Patient	Encounter	Amount	Detail	IP
Jul 31 2026 12:06	Refund Issued	admin	396	104125	$50.00	method=original \| reason=Overpayment \| receipt=8021	172.18.0.1
Jul 31 2026 11:42	Refund Issued	admin	396	103684	$20.00	method=original \| reason=Overpayment \| receipt=8016	172.18.0.1
Jul 21 2026 10:51	Charge Saved	admin	123	103184	$75.00	codes=99213	172.18.0.1
Jul 21 2026 09:38	Settings Saved	admin	-	-	-	section=clearinghouse \| keys=ch_fetch_schedule,ch_fetch_cron_hour,ch_delete_after_download,ch_archive_local	172.18.0.1
Jul 10 2026 16:07	Copay Recorded	admin	1087	104158	$20.00	method=cash	172.18.0.1
Jul 10 2026 16:07	Charge Saved	admin	1087	104158	$180.00	codes=99214, 98941, 97014	172.18.0.1
Jul 10 2026 16:01	Statement Emailed	admin	1073	103640	-	recipient=fatima.bourhim@example.com	172.18.0.1
Jul 10 2026 15:31	Statement Emailed	admin	1073	103640	-	recipient=fatima.bourhim@example.com	172.18.0.1
Jul 10 2026 15:29	Statement Emailed	admin	1058	103526	-	recipient=priya.raman@example.com	172.18.0.1
Jul 10 2026 15:24	Charge Saved	admin	99	344	$82.50	codes=97124, 99213	172.18.0.1
Jul 10 2026 15:22	Charge Saved	admin	1160	103186	$80.00	codes=97124, 98940	172.18.0.1

		Code	Description	Mod	Units	Fee	DX (multi)
No charges added yet. Search for codes above.
Total:						$0.00

MLE Billing

Unbilled

Charges Posted (30d)

Payments Received (30d)

Adjustments (30d)

ERA Pending

MLE Billing

1

5

11

2

1143

Claims with Validation Errors

Claims Ready to Submit

Awaiting Response

Rejected & Denied Claims

Claims On Hold

Patient Balances

$38,035.10

$22,610.05

$243.91

$2,517.10

$61,181.16

$0.00

Completed Claims

16

0

0

0

Adjustments

Denials

Archived Encounters archived from Unbilled, with reason

Aged Claims all claims older than 180 days - history, not archived

Starting Tab

Stat Card Timeframe

Payer Configuration

Clearinghouse Partners

Fetch Schedule

File Handling

Recent Processing History

CMS-1500 Calibration

Self-Pay Discount

Code Manager

Fee Override Approvers

Submission Lag by Payer

Fee Override Log

Billing Audit Log