Payment Posting Services That Go Beyond Data Entry

Payment posting is the process of recording insurance and patient payments in a medical billing system. It includes applying payments to the correct claims, recording adjustments, identifying remaining balances, and updating the financial information used for billing and follow-up.

ERA posting uses electronic remittance information, generally transmitted through the ASC X12 835 standard. Paper EOB or remittance posting involves reviewing the payment information and entering the relevant details manually or through an approved document-processing workflow.

Claim Adjustment Reason Codes explain why an insurance payment was adjusted. Remittance Advice Remark Codes provide additional information about the payer’s processing decision. Both help billing teams understand unpaid amounts, adjustments, and possible follow-up requirements.

We review available remittance information and compare payments with applicable reimbursement details when contract or fee schedule information is available. Claims with unexpected differences are flagged for further investigation.

Yes. Many billing systems support ERA auto-posting. However, unmatched claims, unexpected adjustments, partial payments, reversals, and other exceptions may require manual review.

We record the primary payer’s adjudication information and support the subsequent posting and coordination of secondary payments. The process follows applicable payer and coordination-of-benefits requirements.

We help identify the denied service and ensure it remains available for appropriate billing follow-up. Our AR and denial management teams can assist with reviewing the unresolved claim.

Payment reconciliation compares available remittance information, posted transactions, and related payment records. It helps identify unapplied amounts, duplicate entries, and discrepancies requiring investigation.

Yes. Incorrect payment allocations, patient responsibility amounts, or contractual adjustments may produce inaccurate balances. We help identify posting issues that need correction before or after statements are generated.

Our medical billing operation supports a range of government and commercial payer workflows. We review each practice’s payer mix and confirm the required payment posting arrangements during setup.