Payment Posting Services

Payment posting services

Payment posting services record every payer and patient payment against the right claim and line, read each adjustment code, and turn the remittance into action: denials routed to be worked, underpayments flagged against your contract, patient balances moved to statements, and the bank reconciled to the posting.

See where claims are getting stuck. No patient data needed.

We post from 835 ERA files, and from paper where a payer still sends it.

This work starts once the claim has gone out. Buy it on its own or pair it with our other billing services, stage by stage.

Last reviewed October 21, 2026 by the Remitwright billing team. Editorial policy

What payment posting covers

835 electronic remittances posted in your PM system, with manual review of any line the auto-posting could not match

Paper EOBs and patient payments posted from the scan and matched to the deposit

Every CARC and RARC read and acted on: denials to the denial queue, contractual adjustments taken correctly, patient responsibility moved to statements

Paid amounts checked against contracted allowables, with underpayments logged and sent for recovery

Zero-pay and takeback (recoupment) remittances posted and investigated, not just applied

Secondary claims triggered as soon as the primary payment posts

Unapplied cash worked down to zero, with each item traced to its claim

Bank deposits reconciled to posted payments so the books and the billing system agree

What goes wrong when payment posting is skipped

The denial that was posted as an adjustment

A CO-97 (bundled) denial is posted as a contractual write-off because that is the default in the PM system. The line was separately payable with the right modifier. It is never worked, because to the system it is closed.

The underpayment nobody compared

A payer pays short of the contracted rate on a code for six months. Posting applied the payment and wrote off the difference as contractual. Without a loaded fee schedule, every short payment looks like a normal adjustment.

Unapplied cash

Payments that could not be matched sit in an unapplied bucket. Patients get statements for balances that were paid. Claims look open that are not. The month-end numbers are wrong in both directions.

How we run payment posting

ERA setup

We make sure every payer that can send an 835 does, and that your clearinghouse delivers it into the PM system.

Posting

Auto-posting reviewed line by line for exceptions; paper and patient payments keyed; everything balanced to the remittance total.

Code review

Adjustment codes mapped to actions. Denials and underpayments go to work queues with the reason attached.

Reconcile

Posted totals tied to bank deposits; unapplied cash cleared.

Feed back

Patterns from the remits, such as a payer bundling a code or a new remark code appearing, go to coding and submission so the cause is fixed.

What you receive every week

Posting balance

Remittances received, posted and balanced, with exceptions listed.

Underpayment log

Each short payment with payer, code, contracted amount, paid amount and the status of the recovery.

Weekly line in your report

Payments posted by payer, adjustments by reason, unapplied balance, and denials routed from the remits.

Worked example: the bundled injection

A hypothetical pain management practice bills a trigger point injection with an E/M on the same day. The payer's remit shows the E/M paid and the injection denied CO-97. The auto-poster is set to write off CO-97. Your biller's exception review catches it: the note documents a separately identifiable E/M, modifier 25 is on the claim, and this payer's policy allows it. The line goes to the denial queue, is appealed with the note, and is paid six weeks later. Posted as a write-off, it would have been gone.

Questions about payment posting

What is an ERA and why does posting depend on it?

An ERA, or 835, is the electronic version of the explanation of benefits a payer sends with a payment. It carries every claim, line, paid amount and adjustment code in a form the PM system can read. With ERAs, posting runs line by line from the file; without them, every line is keyed by hand from paper.

Do you post patient payments too?

Yes: card, check, cash and portal payments, applied to the right balances. We also tell you when a patient was billed for something that should have gone to a secondary payer.

How do you find underpayments?

By loading your contracted fee schedules and comparing every paid line to them. Anything below the contract goes to a log and is worked as a recovery.

What do you do with recoupments?

Post them, find out why, and challenge them where the payer is wrong. A recoupment is often a payer reversing a payment it says it made in error; sometimes the error is theirs.

Can you reconcile posting to our bank?

Yes. Deposits are tied to the posted remittances. Differences are found and explained, which is what your accountant wants at month end.

Can payment posting be outsourced while our staff keep the follow-up?

Yes. Your biller posts the 835 and the paper EOBs inside your system, flags short payments against the fee schedule and logs recoupments, and your staff pick up follow-up from the posted record. The weekly report shows both halves, so a variance the poster found and the follow-up it needs sit on one line.