Tickets
Active work items routed to this team. Each ticket may be driven by a workflow or assigned to a person.
Ticket
Title
Assignee
Status
Age
OH-1820
Claim #4820 — missing modifier 50 (bilateral TKA)
Choi, J. · Auto-correction proposed; held for biller review
Bea Ramirez
2h
OH-1819
UHC denial appeal — Reyes spine fusion
Reyes, P. · Evidence packet assembled; awaiting Karen sign-off
Karen Mitchell
4h
OH-1818
BCBS reimbursement variance — 3 claims under-paid
Variance flagged: $4,210 across 3 claims
Bea Ramirez
1d
OH-1815
Implant invoice unmatched — case 1041
Reyes, M. · Vendor invoice does not match op report SKU
Bea Ramirez
2d
OH-1812
Claim #4810 — undercoded fusion (CPT match low confidence)
Marquez, A. · Ohtari flagged 0.62 confidence; biller adjudicating
Bea Ramirez
3d
OH-1810
Aetna recoupment letter — Choi case from Q4
Choi, J. · Original PA pulled; appeal drafted
Karen Mitchell
3d
OH-1808
Weekly net collections recovery report
$11,240 recovered. Sent to partners.
Ohtari
Yesterday