Insurance payment posting
Electronic and paper remittances posted line by line with correct allowed, paid and adjustment values.
Payment Posting
Payment Posting and Reconciliation You Can Trust
Posting is where reporting becomes reliable. RCM Nexa posts ERAs, EOBs and patient payments accurately, reconciles against deposits, and routes adjustments and denials to the right queue.
Overview
Why this work decides whether you get paid
Posting is where the revenue cycle tells the truth. Done carefully, it reveals underpayments, contractual variances and denial patterns as they happen. Done as data entry, it hides all three and makes every downstream report unreliable.
RCM Nexa posts ERA and EOB transactions against expected reimbursement, reconciles to bank deposits, and routes denials and variances into the correct follow-up queue the same day rather than leaving them inside a balanced batch.
Who this is for
- Practices whose reports do not match their deposits
- Providers suspecting contractual underpayment
- Organizations with unapplied credits and unresolved batches
- Teams needing denials routed automatically from posting
What this includes
- ERA and manual EOB posting
- Patient payment and refund handling
- Contractual adjustment accuracy
- Deposit-to-posting reconciliation
Denial routing
Zero-pay and partial-pay lines are routed straight into denial and AR workflows.
Patient balance accuracy
Correct patient responsibility so statements go out accurate the first time.
Daily reconciliation
Posted totals reconciled against bank deposits to keep books and system in agreement.
How We Run It
Our payment posting workflow
A defined sequence with named ownership at every handoff, so accountability does not disappear between steps.
Post remittances
Electronic and paper remittances are posted line by line with adjustment reason codes preserved.
Compare to expected
Payments are checked against contracted or expected reimbursement and variances are flagged.
Reconcile deposits
Posted totals are reconciled to bank deposits so unposted or misapplied funds surface quickly.
Route follow-up
Denials, partial payments and patient-responsibility balances are queued to the right workflow immediately.
Common Problems
What usually goes wrong — and how we handle it
Denials hide inside posted batches
Adjustment reason codes are retained and denials are routed at posting rather than discovered in aging reports.
Credits and refunds accumulate
Unapplied cash and credit balances are reviewed on a set cadence with a documented resolution path.
Underpayments look like normal adjustments
Expected-versus-paid comparison separates contractual write-offs from genuine shortfalls.
Common Questions
Questions we get asked about payment posting
- Do you handle paper EOBs?
- Yes, both electronic remittances and scanned paper EOBs are supported.
- How are discrepancies handled?
- Variances are documented and escalated to your designated contact rather than silently adjusted.
Related Services
Often engaged together
Medical Billing
End-to-end billing management from charge entry through payment reconciliation.
Learn MoreRevenue Cycle Management
Complete management and optimization of the healthcare revenue cycle.
Learn MoreMedical Coding
Accurate coding workflows supporting clean claims and compliant reimbursement.
Learn MoreNext Step
Talk to an RCM expert about your revenue cycle
Share where billing is slowing down and we'll walk through what a managed revenue cycle would look like for your organization.