Payment Posting and Reconciliation

Accurate Payment Posting for Clearer Financial Records

ERA, EOB, manual payments, adjustments, denials, unapplied payments, reconciliation, and exception review — so your ledgers stay accurate and short pays are visible immediately.

posting.prp.ioReconciliation
01ERA postingAutomated
02EOB postingAutomated
03Manual entrySpecialist
04AdjustmentsSpecialist
05ReconciliationReview

Illustrative workflow — steps adapt to your practice

Service Overview

What this service includes

Payment posting and reconciliation ensures that every payment, adjustment, and denial is accurately reflected in your financial records. ERA and EOB posting is assisted by automation, while manual payments, adjustments, and unapplied amounts are reviewed by specialists. Reconciliation against deposits and exception review ensures that short pays and denials are identified immediately rather than discovered later.

  • Where it fits in the revenue cycle
  • How it supports practice operations
  • How human specialists remain accountable
How It Works

How this service works

AI-assisted. Expert reviewed.
  1. 01

    ERA Posting

    Post electronic remittance advice automatically to the correct accounts.

    Who: AutomationValue: High-volume posting handled quickly and consistently.
  2. 02

    EOB Posting

    Post paper EOBs and non-standard remittances to the correct accounts.

    Who: Automation, specialists on exceptionsValue: Non-standard remittances posted accurately.
  3. 03

    Manual Payment Entry

    Post manual payments, patient payments, and non-electronic transactions.

    Who: Posting specialistsValue: Manual transactions reflected accurately.
  4. 04

    Adjustment & Denial Review

    Review adjustments and identify denials embedded in remittances.

    Who: Posting specialistsValue: Denials identified at posting rather than later.
  5. 05

    Reconciliation

    Reconcile posted payments against deposits and flag unapplied amounts.

    Who: Posting specialistsValue: Ledgers match actual deposits and short pays are visible.
Capabilities

Core capabilities

The specific functions included in this service, each handled by experienced specialists with automation support.

ERA Posting

Electronic remittance advice posted automatically to the correct accounts.

EOB Posting

Paper EOBs and non-standard remittances posted accurately.

Manual Payment Entry

Manual and patient payments posted to the correct accounts.

Adjustment Review

Adjustments reviewed for accuracy and appropriateness.

Denial Identification

Denials embedded in remittances identified at posting.

Unapplied Payment Review

Unapplied amounts researched and applied correctly.

Deposit Reconciliation

Posted payments reconciled against deposits for accuracy.

Challenges

Common operational challenges we address

The real issues this service is designed to resolve — without exaggerated outcomes or guaranteed results.

Delayed posting

When posting falls behind, your team cannot see current financial status or identify short pays.

Hidden denials

Denials embedded in remittances are missed when posting is not reviewed carefully.

Unapplied amounts

Payments that cannot be matched sit unapplied, creating ledger inaccuracies.

Reconciliation gaps

Without reconciliation against deposits, discrepancies go unnoticed.

Technology + People

Technology where it helps. Expertise where it matters.

Automation handles volume and consistency. Experienced specialists handle judgment, review, and accountability.

How technology supports this service

  • ERA posting is automated for high-volume standard remittances
  • Exception queues route non-standard remittances to specialists
  • Denial flags identify denied claims embedded in remittances
  • Reconciliation reports compare posted totals against deposits

How specialists provide oversight

  • Posting specialists review every exception and non-standard remittance
  • Manual payments are entered and verified by experienced staff
  • Adjustments are reviewed for accuracy before posting
  • Unapplied amounts are researched and resolved by specialists
Reporting

Reporting and visibility

The categories your team will see in reporting for this service.

posting.prp.ioLive

Payments posted

2,140

+5.8% MoM

Posting accuracy

99.1%

+0.2% MoM

Denials at posting

31

+6 MoM

Unapplied balance

$2.4k

-$1.1k

Illustrative dashboard data — not actual client results

Engagement

How we get started

A structured four-step process from initial assessment to ongoing management.

1

Assessment

Posting workflow assessment

2

Scope

Remittance and deposit review

3

Onboarding

Reconciliation workflow setup

4

Ongoing

Ongoing posting with accuracy reporting

Specialty-Aware

Solutions adapted to your specialty

Every specialty has its own coding rules, payer quirks, and revenue patterns. Our teams know the difference.

Primary Care
Internal Medicine
Cardiology
Behavioral Health
Orthopedics
Dermatology
Urgent Care
Pain Management
FAQ

Questions about this service

If something is not covered here, our team is happy to walk through it during your assessment.

Yes. ERA is posted automatically, and paper EOBs and non-standard remittances are posted by specialists.

Free, no-obligation assessment

Bring Accuracy and Visibility to Your Payment Posting

Start with a focused review of your posting workflow and see where reconciliation and exception review can surface short pays faster.