Payment posting is where your revenue becomes visible — or quietly disappears. A payment posted to the wrong line, a contractual adjustment taken at face value, or a denial buried inside a bulk remittance can hide underpayments and lost claims for months. Health XRCM’s payment posting services post every ERA and EOB at line level, reconcile postings to your actual deposits, verify adjustments against your contracted rates, and flag denials the same day — so your accounts receivable always shows the truth about what you’ve earned, collected, and are still owed.
Payment posting is the process of recording payments, adjustments, and denials from payer remittances — electronic ERAs and paper EOBs — into your practice management system. Each claim line is matched to what the payer actually paid, contractual adjustments are applied, remaining balances are transferred to secondary insurance or the patient, and anything denied or underpaid is identified for follow-up. Accurate posting is what makes your AR reports, denial workflows, and patient statements trustworthy.
Every downstream process depends on posting being right: denial follow-up, AR recovery, patient statements, and your own financial reporting. Line-level posting with adjustment review catches underpayments other billing workflows miss, and same-day denial flagging means denials enter our denial management and AR recovery processes while they are still winnable.
Do you post both electronic (ERA) and paper EOB payments?
Yes. We post ERAs from your clearinghouse and payer portals, and paper EOBs your practice receives by mail, all at line level.
How do you catch underpayments?
Every contractual adjustment is compared against your contracted rates for that payer. When a payer pays below contract, the claim is flagged and pursued — not written off.
What happens when a denial appears in a remittance?
It’s identified during posting, categorized by reason code, and routed to denial management the same day, instead of sitting unnoticed in a posted batch.
If your reports don’t match your deposits, your posting is hiding revenue. Call (505) 274-7878 or book a free assessment.
