Know exactly what you were paid

Payment Posting & Reconciliation

Q: How would we know if a payer is underpaying us?

Only by comparing each paid line against your contracted rate. We load your fee schedules and flag any line that pays below contract, which is the basis for a recoupment appeal.

Q: Do you handle patient balances and refunds?

Yes. Patient responsibility is posted and statements are generated, and credit balances are identified for refund so you stay compliant on overpayments.

ERA and EOB posting with line-level reconciliation against your contracted rates — so underpayments surface instead of settling silently.

A payment posting specialist reconciling remittance statements with a calculator

Within 24–48 hours
Posting turnaround: Line-level vs. contract
Reconciliation: Automatic
Underpayment flagging

What this actually involves

Posting is not data entry; it is the control point where underpayments become visible. We post ERAs and manual EOBs at line level, reconcile every payment against your contracted fee schedule, and flag variances for appeal. Payments that post without reconciliation are how practices lose several percent of contracted revenue every year without ever seeing it.

How we run it

1
Remittance intake
ERAs and scanned EOBs are gathered daily from every payer and lockbox.
2
Line-level posting
Each service line is posted with its own allowed, paid and adjustment amounts.
3
Variance check
Paid amounts are compared to contracted rates and variances are flagged.
4
Close and report
Deposits are reconciled to postings so your books and your PM system agree.

Questions