← Revenue worklist
REV-CLM-3103
Timely-filingNewFictional TRH demo — synthetic claim id · no PHIBlue Cross and Blue Shield of Texas · Observation · APC 8011 (Observation)
Expected-vs-paid calculation
Expected (contract allowed)
$3,180
Paid (remittance)
$0
Variance
$3,180
Rate basis: Observation allowed $3,180
Contract term: BCBSTX §9 Filing limit (95 days)
Denial / adjustment reason: CO-29 timely filing exceeded
Ownership & confidence
- Owner
- M. Duran
- Confidence
- 41 / 100
- Claim age
- 96 days
- Recovery action
- Assess proof-of-timely-submission; likely write-off if unsupported.
Evidence provenance
- Evidence
- BCBSTX 835 denial batch C · line 88
- Linked agreement
- Statewide Blue Plan Participation Agreement
- Linked payer
- Blue Cross and Blue Shield of Texas
Recovery workflow
Demo action — resets on reload · not persistedChronology & session activity
- seed2026-04-08 — REV-CLM-3103 surfaced by VERIFY expected-vs-paid rule from the 835/837 batch extract · FY2026 Q3 (Apr–Jun 2026).
- seed2026-04-08 — Contract term matched; expected allowed amount recomputed from loaded rate basis.