Payment Posting & Reconciliation

Every payment, adjustment, and ERA is posted accurately and reconciled against expected reimbursement, so underpayments surface immediately and your books always balance.

We post both electronic remittances (ERAs) and manual EOBs the same day they’re received, applying contractual adjustments and write-offs correctly the first time so your ledger doesn’t need cleanup later. Every payment is checked against what your contract actually says a payer should have paid — when there’s a gap, it’s flagged immediately and routed for recovery instead of quietly absorbed as a write-off.

Unapplied cash — payments that land but never get matched to a claim — is one of the most overlooked leaks in a revenue cycle, because the money technically arrived, so nothing looks wrong on the surface. We reconcile unapplied cash on the same schedule as everything else, so a misapplied or unmatched payment gets resolved in days instead of sitting in a suspense account for months.

This service matters most for practices with enough payment volume that manual posting has become a bottleneck, or that have noticed their books don’t quite reconcile at month-end without someone spending hours tracking down the difference.

A sign you need this: unapplied cash keeps accumulating in a suspense account, or your month-end close routinely takes longer than it should because payments and adjustments weren’t posted accurately as they came in throughout the month.

Remittances get posted the same day they arrive instead of batching up for whenever someone has time, which means your AR reports reflect reality throughout the month rather than only after a periodic catch-up session.

Posting is where you find out whether everything upstream actually worked — a payment that doesn’t match what your contract calls for gets routed straight to revenue integrity for recovery, instead of just being accepted as-is.

We hold ourselves to same-day posting and same-day discrepancy flagging — a payment sitting unposted for a week isn’t a minor delay to us, it’s a data quality problem that makes every other report less accurate.