Payment posting services

Underpayments flagged, escalated, and recovered — before they become write-offs.

We post payer and patient payments, reconcile every remittance against contracted rates, and route variances for follow-up — so shortfalls are caught at posting, not discovered months later in an audit.

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Why payment posting accuracy matters

Revenue you've earned is only collected when payments are posted and reconciled correctly

$28.83B
in Medicare improper payments in 2025 — a 6.55% error rate across the program
CMS, 2025
1–3%
of net revenue lost annually to unidentified commercial payer underpayments
Industry benchmark
96%
net collection rate benchmark — below 90% signals posting or follow-up gaps
MGMA DataDive

How blueBriX handles payment posting

From remittance to reconciliation — every payment accounted for

Our team works across multiple EHRs, practice management systems, and clearinghouses — no migration, no platform lock-in.

💳

ERA and EOB posting

Electronic and paper remittances posted to patient accounts — payments, adjustments, and write-offs applied accurately per payer rules.

🔍

Payment reconciliation

Posted amounts matched against expected reimbursement per contract — discrepancies between allowed, paid, and adjusted amounts identified.

⚠️

Underpayment and variance identification

Shortfalls flagged when payer reimbursement falls below contracted rates — caught at posting, not months later during audit.

👤

Patient payment posting

Copays, coinsurance, deductible payments, and self-pay balances posted and applied to the correct encounter and date of service.

📄

Patient statement generation

Clear, accurate patient statements produced from posted balances — outstanding amounts tracked for follow-up and collections.

🔀

Denial and shortfall routing

Denials and underpayments identified during posting routed to the appropriate follow-up workflow — not left unworked in the queue.

⏱️

Posting turnaround aligned to your reporting cycle

Payments posted within your required cadence — daily or next-business-day — so financial reports reflect current receivables, not last week's.

How we measure payment posting performance

Six metrics we track to ensure every payment is posted accurately and on time

Payment posting accuracy
Payments posted correctly the first time — no misapplied amounts, no incorrect adjustments
Posting turnaround time
Time from ERA/EOB receipt to completed posting — measured against your required cadence
Unapplied cash rate
Payments remaining unallocated after posting — tracked and resolved, not left in suspense
Payment reconciliation rate
Payments successfully reconciled to remittance advice and bank deposits
Underpayment detection
Payment variances identified against expected reimbursement per contracted rates
Posting backlog & aging
Payments awaiting posting tracked by volume, value, and age — no silent backlog building

Tailored to your specialty

Posting complexity varies — our approach adapts

Billing complexity varies — our approach adapts

Behavioral Health

Session-level and per-diem reconciliation — managed

  • Per-diem rates reconciled for PHP and residential
  • Session-level reimbursement matched per code
  • Carve-out payer remittances routed correctly
  • Contracted rate variances caught per MBHO
  • Visit limit adjustments tracked at posting
Physician Practice

High-volume ERA processing across payer mixes

  • Multi-payer ERA batch posting
  • Contract rate matching per payer and code
  • Copay and deductible balance tracking
  • Patient statement generation and distribution
Ambulatory Surgical Center

Facility and professional payments reconciled separately

  • UB-04 and CMS-1500 remittances posted independently
  • Implant reimbursement matched against cost
  • High-dollar variance prioritization
  • Case profitability visibility at posting

See it in action

What changed when the revenue cycle finally worked

120+ → 35
AR days reduced
in 3 weeks
6%
Revenue
increase
20%
Fewer claim
rejections
25%
Faster payment
processing

What we take off your plate

Other areas we manage

Each service can be outsourced on its own or as part of a broader engagement.

Eligibility verification Prior authorization Medical coding Medical billing Denial management AR follow-up Credentialing Revenue cycle consulting Reporting & analytics

Questions

Frequently asked questions

What is payment posting in medical billing?
Payment posting is the process of recording payer and patient payments against the corresponding claims, reconciling remittance data (ERA/EOB) against expected reimbursement, and identifying variances — underpayments, denials, and adjustments — that need follow-up. It sits between claim adjudication and accounts receivable follow-up in the revenue cycle.
What is the difference between an ERA and an EOB?
An ERA (Electronic Remittance Advice) is the electronic version of a payer's payment explanation, transmitted in HIPAA-standard 835 format. An EOB (Explanation of Benefits) is typically the paper or PDF version sent to the provider or patient. Both contain the same core information — what was billed, what was allowed, what was paid, and what was adjusted — but ERAs can be posted electronically while EOBs require manual entry.
Why do underpayments go undetected?
When payment posting simply records what the payer sent without comparing it to what the contract requires, underpayments look like normal payments. A payer reimbursing $112 on a claim where the contracted rate is $145 still shows as "paid" in the system. Without reconciliation against contracted rates at the time of posting, the shortfall accumulates silently across hundreds of claims.
How does payment posting affect AR?
Delayed or inaccurate posting directly inflates AR. If payments sit unposted for days or weeks, the claims they correspond to remain in the aging queue — making AR reports unreliable and delaying follow-up on claims that actually need attention. Timely, accurate posting keeps AR current and actionable.
How does blueBriX handle payment posting?
We post payer and patient payments from ERA, EOB, and manual remittances, reconcile posted amounts against expected reimbursement per contract, flag underpayments and variances at the point of posting, generate patient statements from posted balances, and route denials and shortfalls to the appropriate follow-up workflow. We work within your existing EHR, PM system, and clearinghouse.
Does blueBriX handle patient payments and statements?
Yes. We post patient copays, coinsurance, deductible payments, and self-pay balances, and generate clear, accurate patient statements from the posted balance — with outstanding amounts tracked for follow-up.
Does this require switching EHR or practice management systems?
No. We work across multiple EHRs, practice management systems, and clearinghouses — not limited to any specific platform. No migration required.
Which practices benefit most from outsourcing payment posting?
Practices where posting backlogs are inflating AR, where underpayments are going undetected, or where the volume of remittances exceeds what the in-house team can reconcile daily — behavioral health organizations with session-level and per-diem reconciliation, physician groups processing high ERA volumes, and ASCs where high-dollar variances carry outsized financial impact.

Accurate posting protects the revenue you've already earned

Talk to our team about how structured payment posting and reconciliation can close variance gaps, reduce AR aging, and give your financial reports the accuracy they need.

Schedule a consultation Request a quote