Payment Posting
Every Denial, Every Credit Balance, Every Wrong Patient Bill Starts Here.
Payment posting isn't data entry. It's the foundation your denials, reconciliation, and revenue all stand on, so our specialists own every payment, adjustment, and variance.
Posting Mistakes Don't Stay in Posting
These aren't dramatic, easy-to-spot errors. They're quiet, systemic problems that look like correct payments because the check cleared.
Small Underpayments Compound
A payer that underpays by $3 on a procedure you bill 200 times a month costs you $7,200 a year, on one code, one payer. The only way to catch it is to compare every payment against every contracted rate, every time.
Credit Balances Pile Up
A misapplied payment becomes a credit balance that takes an hour to research. Over 50% of credit balances trace back to incorrect postings, the kind that hide in plain sight until someone reconciles them.
Denials Age Silently
A missed denial code becomes a claim that ages 90 days before anyone notices. When our specialists catch the variance at posting, it routes into follow-up instead of stalling on an aging report.
Specialist-Owned Posting, with Exception Review
Posting is where a claim filed through Claim Submission & Scrubbing comes back as money, or as a problem. Our specialists own your posting. Automated ERA/835 remittance processing handles the routine volume: clean, standard payments auto-post the moment the remittance lands, so nothing waits in a queue. Anything that doesn't match cleanly (a short pay, an unexpected adjustment, a denial code, a misapplied payment) is flagged and routed to a specialist for line-by-line review before it ever touches your ledger. The technology handles speed and volume so the people can spend their time on the exceptions that actually move money, instead of keying remittances all day.
Underpayment Detection at the Point of Posting
We compare every payment against your contracted rates the moment it posts. Shortfalls are flagged and routed to our underpayment review team the same day, not discovered months later during a random audit.
Denial and Adjustment Routing
When a payment posts with a denial code or unexpected adjustment, our team categorizes it and routes it into the right workflow the same day, so the claim moves straight into Insurance A/R Follow-Up instead of stalling. Correct CO, OA, PR, and PI group codes on every line, because incorrect adjustment codes are the number one reason credit balances compound silently.
Reconciliation and Reporting
Daily deposit-to-posting reconciliation means your bank deposits match your system. Monthly reports show you exactly where your money went, broken down by payer, provider, and adjustment reason: numbers you can actually make decisions from.
Matched
To the Right Account, Date and Code
Every payment posted where it belongs, with the exceptions reviewed by a specialist before they touch your ledger.
50%+
Credit Balances from Posting Errors
The industry average we work to eliminate by getting it right the first time.
25+
Years of AR Expertise
Specialists who read payer remittance logic, group codes, and contracted rates the way only experience teaches.
Payment Posting FAQs
Is your payment posting automated or done by people?
Both, and the split is deliberate. Automated ERA/835 remittance processing posts the standard, clean payments so volume never backs up. Our specialists own the result: every payment that doesn't match cleanly, a short pay, an unexpected adjustment, a denial code, or a misapplied amount, is flagged and reviewed line by line before it touches your ledger. The technology handles the routine and flags the exceptions. People make the posting decisions.
Do you post paper EOBs and patient payments too, or only electronic remittances?
Both. Electronic ERA/835 remittances post automatically, and our specialists post the paper EOBs, lockbox checks, and patient payments that don't arrive as a clean electronic file. The same exception review applies regardless of how the payment arrived, so a manually posted check gets the same accuracy as an electronic one.
How accurate is your payment posting?
Every payment is matched to the right account, the right date of service, and the right adjustment code. Payments that don't match cleanly are flagged for a specialist to review line by line before they touch your ledger, and daily deposit-to-posting reconciliation is the check on everything else: your bank deposits have to match what posted in your system, so a mispost surfaces the same day. Accuracy at posting matters because incorrect adjustment codes are the leading reason credit balances compound silently, and more than 50% of credit balances trace back to posting errors. Catching the variance at the point of posting is far cheaper than researching it months later.
What happens when a posted payment is short or comes back with a denial?
It doesn't stall. When a payment posts short of your contracted rate, the shortfall is flagged the same day and routed to underpayment review. When a payment posts with a denial code, our specialist categorizes it and routes it straight into insurance AR follow-up. Posting is the foundation the rest of the cycle stands on, so every exception lands in the right workflow the day it's posted, not weeks later on an aging report.