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Payment posting

Payment Posting Services, Reconciled to the Deposit

Posting is where the revenue cycle finds out what actually happened. Done well it is a reconciliation discipline rather than data entry. Every dollar posted ties to a deposit, every adjustment has a reason code, and every denial that arrives as a zero-pay line becomes a work item instead of disappearing into the ledger.

Two people at adjacent workstations, wearing headsets, working through queues on screen.

What we post

Insurance and patient, electronic and manual, with the same reconciliation standard applied to all of it.

  • Electronic payment posting
  • Manual payment posting
  • ERA processing
  • EOB processing
  • Insurance payment posting
  • Patient payment posting
  • Contractual adjustment posting
  • Write-off posting against your approved reason codes
  • Denial posting with reason and remark codes captured
  • Takeback and recoupment posting
  • Refund request identification
  • Payment reconciliation
  • Deposit reconciliation against the bank
  • Unapplied and unidentified cash tracking
  • Variance identification against expected reimbursement
An open-plan delivery floor: rows of height-adjustable desks, each with a monitor, between low acoustic screens.

Your queues, your system, the same people on them every day.

How a batch is posted

Nothing is closed until it balances. An unbalanced batch is escalated the same day rather than carried.

  1. 01Receive
  2. 02Post
  3. 03Balance
  4. 04Reconcile
  5. 05Route

What you get

Batches that balance to the deposit
Posted totals reconcile to the bank. A variance is raised the day it appears, with the batch and the line identified.
Denials posted as work, not as zeroes
Zero-pay lines carry their reason and remark codes and route straight into the denial queue instead of closing silently.
Adjustments against your reason codes
We post to the codes you approved. Anything that does not fit one comes back rather than being forced into the nearest match.
Unapplied cash kept visible
Payments we cannot identify are tracked in one place with what we know about them, not parked and forgotten.

Reporting cadence

Daily
Batches posted, balanced, and any variance against the deposit.
Weekly
Unapplied cash, takebacks and refund candidates.
Monthly
Posting accuracy and turnaround against the agreed measures.

How it is measured

KPIs and SLAs are customized according to the client's process requirements and contractual scope.

These are the measures we report on. The targets against them belong in your agreement, where they can be negotiated and enforced, rather than on a web page where they cannot.

  • Payment posting accuracy, sampled at transaction level
  • Posting turnaround from receipt
  • Deposit reconciliation completeness
  • Unapplied cash aging
  • Adjustment coding accuracy
  • Denial capture rate from zero-pay lines
  • Process compliance against the SOP
  • SLA compliance

Find out what your ledger is hiding

Send us your monthly remittance volume, your payer mix and how you reconcile today. We will come back with a posting model, a team size and a transition plan.