Payment Posting Module

Automate Payment Posting with Intelligent ERA Processing

Automated ERA/835 parsing with smart claim matching, CARC-based adjustment classification, variance engine with granular thresholds, and rules-based auto-posting.

ERA
835 Processing
automated parsing
Smart
Claim Matching
intelligent linking
Auto
Payment Posting
rules-based
3-Type
Variance Engine
allowed, paid, PR
Posting Lifecycle

Complete Payment Visibility

Track every payment through its complete posting lifecycle with real-time status updates and exception handling.

Pending
Processing
Posted
Exception
Reconciled
Core Capabilities

Enterprise Payment Processing

From ERA receipt to bank reconciliation, automate your entire payment posting workflow.

ERA/835 Processing

Automated parsing of Electronic Remittance Advice files with intelligent extraction of payment details, adjustments, and denial codes.

ERAauto-parsing
X12 835 parsing
Adjustment codes
Denial extraction
Batch processing

Intelligent Claim Matching

Smart matching algorithms link payments to claims using multiple identifiers, handling split payments and partial remits automatically.

Smartmatching logic
Multi-ID match
Split payments
Partial remits
Exception handling

Auto-Posting Rules

Configurable rules engine automatically posts payments, adjustments, and denials based on your practice's policies and preferences.

Autorules engine
Custom rules
Auto-adjustment
Denial routing
Write-off policies

Denial Integration

Seamless integration with Denial Management module - automatically categorizes denials and routes them to the appropriate work queue.

Integrateddenial workflow
Auto-categorize
Queue routing
Follow-up tracking
Appeals workflow

Variance Engine & Classification

Compares expected reimbursement to actual payments with three variance types. Automatic CARC-based adjustment classification into contractual, denial, patient, and write-off categories.

3-Typevariance analysis
Allowed Variance
Paid Variance
CARC Taxonomy
Granular Thresholds
Posting Workflow

Streamlined Payment Processing

From ERA receipt to bank reconciliation, every payment follows an optimized path.

1

ERA Received

File uploaded or EDI

2

Parsed & Matched

Claims identified

3

Classified

CARC taxonomy

4

Variance Checked

Expected vs actual

5

Auto-Posted

GL entries created

Advanced Features

Complete Financial Management

Beyond payment posting - manage bank accounts, reconcile deposits, and handle exceptions.

Bank Account Management

Comprehensive bank account tracking with statement import, transaction categorization, and deposit reconciliation.

Account tracking
Statement import
Transaction categorization
Deposit matching

Granular Variance Thresholds

Configure variance tolerance per payer, per contract, and per CPT code pattern with priority-based specificity matching and wildcard support.

Per-payer thresholds
Per-contract rules
CPT wildcards
Priority matching

Work Queue Management

Prioritized work queues for exceptions, unmatched payments, and items requiring manual review with assignment and tracking.

Priority sorting
Assignment rules
SLA tracking
Audit trail
Differentiators

Why Choose Our Payment Posting Solution

Purpose-built for healthcare organizations that need efficient, accurate payment processing.

Multi-Format Upload

Support for EDI, PDF, and manual entry

Clearinghouse Integration

Direct ERA feeds from major clearinghouses

Batch Processing

Handle high-volume ERA files efficiently

EOB Processing

Paper EOB data entry with OCR assist

Posting Analytics

Track volumes, timing, and exceptions

Adjustment Classification

Automatic CARC-to-category taxonomy engine

ROI Impact

Streamline Your Payment Operations

  • Reduce manual posting with automated ERA processing
  • Minimize errors with intelligent claim matching
  • Route denials automatically for faster resolution
  • Reconcile bank deposits with posted payments
  • Detect underpayments instantly with expected vs. actual variance analysis
Auto
Posted
Intelligent payment automation

Standards & Compliance

HIPAA Compliant
X12 835 Certified
Full Audit Trail
Role-Based Access
Multi-Tenant

Ready to Automate Payment Posting?

See how our intelligent payment posting can streamline your revenue operations. Schedule a personalized demo today.

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