Payment Posting
We accurately post insurance and patient payments to ensure up-to-date account balances, complete financial transparency, and faster reconciliation — so your books are always clean and current.
What We Do for Your Practice
- We post EOBs and ERAs from insurance payers promptly into the billing system
- We verify payment amounts, adjustments, and write-offs against payer contracts
- We identify underpayments or non-payments and flag them for AR follow-up
- We apply patient payments (copays, deductibles, etc.) accurately to the correct accounts
- We post contractual adjustments, write-offs, and balance transfers accurately
- We maintain detailed records of all posted transactions for audit and reporting
- We communicate with the AR team to escalate discrepancies found during posting
- ✓Insurance ERA & EOB payments
- ✓EFT (Electronic Funds Transfer)
- ✓Patient copays, deductibles & self-pay
- ✓Check, credit card & cash payments
- ✓Contractual adjustments & write-offs
Types of Payments We Post
Every payment type requires a different posting workflow. Our team handles all categories with speed, accuracy, and full documentation.
We process all insurance remittances — ERA (Electronic Remittance Advice) and paper EOBs — posting payments against the correct claims with full reconciliation against expected amounts.
ERA / EOB Processing- Electronic Remittance Advice (ERA) auto-posting
- Manual EOB data entry for paper remittances
- Claim-level payment reconciliation
- Payer contract rate verification
- Underpayment identification and flagging
- Balance transfer to secondary insurance or patient
We accurately post all patient-responsible payments — from copays collected at the point of service to balance-due payments received by mail, phone, or online — ensuring every account reflects the correct balance.
Copay / Balance-Due- Copay and coinsurance posting at time of visit
- Deductible payment application
- Self-pay and uninsured patient payments
- Online payment portal reconciliation
- Payment plan tracking and posting
- Returned check and refund processing
We post all contractual write-offs, administrative adjustments, and balance corrections accurately — ensuring your AR reflects only what is legitimately collectable and your books stay clean.
Write-Offs & Corrections- Contractual adjustment posting per payer contracts
- Administrative write-offs with approval workflow
- Bad debt and small balance write-offs
- Overpayment identification and refund processing
- Coordination of benefits (COB) adjustments
- Recoupment and clawback posting
When a claim is denied or receives a zero-pay remittance, we post it accurately, document the denial reason code, and immediately route it to the denial management team for appeal or resubmission.
Denial Routing- Zero-pay and denial EOB/ERA posting
- Denial reason code documentation (CARC/RARC)
- Automatic routing to denial management workflow
- Tracking of denial post-date for timely filing
- Partial payment posting with balance tracking
- Coordination with billing team for corrective action
Our Payment Posting Process
A systematic, accurate workflow that ensures every dollar received is posted correctly, reconciled fully, and accounted for transparently.
We collect all incoming payments daily — including ERA files from clearinghouses, paper EOBs, EFT deposits, and patient payment records — ensuring nothing is missed and every remittance is accounted for before posting begins.
Before posting, we verify each payment against the payer's contracted rates. Any discrepancies between the expected and received amount are flagged immediately as potential underpayments for further review and recovery action.
Payments are posted to the precise claim lines they correspond to — with correct payment amounts, contractual adjustments, and patient responsibility balances applied. We ensure every posting is traceable, accurate, and properly documented.
Denied claims and underpayments are posted with full denial code documentation and immediately routed to the denial management team. This ensures zero lag time between posting and the start of the recovery process.
At the end of each day, all posted payments are reconciled against bank deposits and clearinghouse reports. Detailed posting summaries are generated — giving your practice complete visibility into what was received, what was posted, and what requires follow-up.
Why Accurate Payment Posting Matters
Incorrect or delayed payment posting creates a ripple effect — wrong patient balances, missed underpayments, and inflated AR. Our precision posting keeps your financials accurate and your AR clean.
Every payment posted correctly means patient accounts always reflect the true balance — eliminating billing disputes, overpayments, and patient complaints.
Same-day payment posting keeps your cash flow current and predictable — reducing days in AR and giving you a real-time view of your practice's financial position.
By verifying every payment against contracted rates, we identify underpayments that would otherwise go unnoticed — recovering revenue that is rightfully yours.
Accurate, up-to-date posting means your AR aging reports are reliable — so your team can prioritize follow-up on the right accounts and make informed financial decisions.
Every posted transaction is fully documented with source remittance, payment date, and adjustment codes — giving you complete audit trails at all times.