Back-End · Payment Posting

Accurate payment posting that keeps your AR clean.

We post payments, adjustments, and denials line by line — matching every remit to the right patient and date of service, separating insurance from patient responsibility, routing secondary balances, and flagging variances instead of writing them off. You get real-time visibility into revenue and a reason behind every number.

ERA & manual EOB Line-item detail Variances flagged Batch reconciled to deposit

Start a payment posting audit (315) 366-8242

Posting batch — ERA

Matched to patient & DOS

41 of 41

Adjustments posted by line

done

Patient vs insurance split

clean

Secondary balances routed

3 sent

Paid under contracted rate

1 flagged

Not written off routed for underpayment follow-up

Batch reconciled Balanced to deposit

audit-ready

Every dollar
accounted for

The problem

Payment delays start with posting errors

When payments are posted late or incorrectly, it slows follow-up, skews your reports, and hides revenue problems until they’re too old to fix. A backlog of unposted remits isn’t just admin debt — it means nobody can tell you what has actually been collected.

Our team handles both manual and electronic remittances with precision: matching payments, entering adjustments, and flagging variances. You stay on top of collections, reduce unposted revenue, and see problems while there’s still time to act on them.

Posting backlog

Reports describe last month decisions on stale data

Posted current

Reports describe today

act while it matters

You can’t follow up on a problem you haven’t recorded yet.

What posting really is

Every remit is a message. Most of it never gets read.

A remittance doesn’t just carry money. It carries the payer’s explanation: what they allowed, what they took off and why, what belongs to the patient, and what should move to secondary. Post it as a single total and the cash lands correctly while the entire explanation is discarded — which is how a contractual underpayment ends up looking exactly like a payment in full.

What one remittance line actually contains

Amount paid Allowed amount Adjustment & reason code Patient responsibility Secondary indicator

Posted as a total reasons lost

amount kept — the other four discarded

An underpayment is indistinguishable from payment in full

Posted line by line

variance flagged · patient split clean · secondary routed · denial tagged

Every shortfall is visible, and every write-off has a reason attached

The cash is identical either way. What you can act on afterwards isn’t. That difference is the whole argument for posting properly.

Identifying an underpayment requires knowing the expected contractual rate. Where fee schedules or contracted rates are available to load, every payment is checked against that benchmark; where they aren’t, we flag on payer pattern instead and tell you which basis was used.

Anatomy of a remit

The five things we post, not one

Each carries a different downstream consequence — which is why they’re recorded separately.

Amount paid

What actually landed, matched to the right patient, claim and date of service.

Allowed amount

What the payer agreed the service was worth — the number a contractual variance is measured against.

Adjustment & reason

Why the rest wasn’t paid, kept in the payer’s own reason codes so write-offs stay analysable.

Patient responsibility

Separated cleanly, so statements are accurate and nobody is billed for a contractual adjustment.

Secondary balance

Identified and routed onward, rather than sitting as an unexplained balance in A/R.

WHAT'S INCLUDED

What’s included in our payment posting services

From ERA to EOB, we handle every detail so your billing team can stay focused on recovery and reporting.

ERA and manual EOB posting

Electronic remittances and paper EOBs posted with accurate line-item detail, so the record matches what the payer actually said.

Adjustments, denials, refunds and reversals

Entered as distinct events rather than netted away, which keeps your ledger explainable months later.

Insurance vs patient responsibility

Cleanly separated at posting, so statements are correct and no patient is billed for a contractual adjustment.

Secondary balance identification and routing

Balances that belong to a secondary payer are identified and moved on, instead of ageing quietly in AR.

Full reconciliation and batch tracking

Every batch balanced against deposit totals and logged, so the numbers hold up when someone audits them.

Variance and underpayment flagging

Payments below the expected contractual amount are flagged for follow-up rather than absorbed as a write-off.

Connect with our posting team

HOW IT WORKS

From remit received to batch reconciled

We post with discipline, each step focused on clean data and fast turnaround.

ERA or EOB received

Electronic remittances import from your clearinghouse; paper and scanned documents are handled securely from lockbox or mail.

Payment matched to patient and date of service

Each payment tied to the correct patient, claim and DOS before anything is posted.

Adjustments and denials posted by line item

Amounts, allowed values and the payer’s own reason codes recorded line by line, not as a single total.

Balance routed to secondary or patient

Remaining balance directed to the secondary payer or to patient responsibility, whichever the remit indicates.

Batches reconciled and reports sent

Each batch balanced to the deposit, with daily logs and reconciliation summaries delivered to your team.

Issues flagged for review

Variances, refunds and anything that doesn’t reconcile is raised with your billing team rather than quietly adjusted.

Request a demo of our posting workflow

Integration

We match your billing setup and posting workflow

We work directly inside your billing platform — Athena, eClinicalWorks, Kareo, or a custom EHR — and post exactly as your in-house team would. ERA files are imported from clearinghouses, manual EOBs are processed with payer-specific coding, and scanned documents from lockbox or paper sources are handled securely.

Every posting batch is logged, and custom remittance reports can be delivered in whatever format your team already works with. No platform change, no new process to learn.

Electronic ERA files

Manual Paper EOBs

Scanned Lockbox

Your system

Athena eClinicalWorks Kareo / custom

Three sources, one consistent posting standard.

Daily posting log batch #4471

Insurance payments posted

Contractual adjustments

by reason

Underpayment variance

flagged

Refund due

flagged

Batch balanced to deposit

yes

Reporting

Clean data, clear reports, confident decisions

You get accurate numbers to decide on, not estimates. Refunds, reworks, and write-offs are all flagged so your team can act rather than discover them at month end.

Daily payment logs showing exactly what posted
Denial and adjustment breakdowns by reason code
Reconciliation summaries by batch, balanced to deposit
Custom reports built around your billing structure
Refunds, reworks and write-offs flagged for review

Talk to our team

Scale

Support for high-volume practices and complex payers

Whether you post hundreds of claims a day or manage several payment sources at once, the team scales with you. Our posters are trained in payer-specific codes, contractual rules, and how to handle discrepancies professionally rather than absorbing them quietly.

Where a posted balance turns out to be a denial or an aged underpayment, it moves to the right team rather than sitting in AR. See Denial Management and AR Follow-Up.

Posted balance

Secondary

claim filed

Patient

statement issued

Variance

to denial or AR

Nothing stays in AR simply because nobody decided where it belonged.

WHY ONEMED

Get the accuracy your revenue cycle deserves

Posting isn’t data entry. It’s the financial clarity that keeps collections strong and follow-up focused.

Capability	In-house staff	Software only	OneMed Billing
Manual EOB processing	Limited by capacity	No	Yes
Secondary balance handling	Often missed	No	Yes
Denial tagging during posting	Inconsistent	No	Yes
Batch reconciliation to deposit	Basic	No	Yes
Full visibility reporting	Low	None	High

Accurate posting keeps collections visible, balances properly routed, and follow-up focused on the accounts that need action.

RESULTS

What better posting actually changes

Outcomes depend on your payer mix, volume, and starting backlog — but the direction is consistent.

Less unposted revenue sitting outside your reports

Shorter time from remit received to fully posted

Underpayments surfaced as variances instead of absorbed as write-offs

Secondary balances identified and moved on rather than ageing in AR

Every batch reconciled to deposit, so the numbers hold up under audit

Stated qualitatively on purpose — see the note below on why the figures currently published for this service need replacing before they’re used.

“OneMed brought structure and accuracy to our posting. Now we know what’s paid, what’s pending, and what needs action, without chasing down old batches.”

— RCM Manager, Multispecialty Clinic

Testimonial quoted from the live page; confirm client consent and attribution before publishing.

GET STARTED

Start a payment posting audit

Send us a recent posting period. We’ll show you what’s sitting unposted, which write-offs were taken without a reason attached, and whether any payments came in under contracted rates.