A paid claim isn't the finish line — it's a checkpoint. Payment posting is where every dollar that comes in gets matched against what was actually billed, so underpayments, denials, and patient balances surface immediately instead of hiding in a reconciled-looking ledger.
What is Payment Posting?
Payment posting is the process of recording payments — from insurance payers and from patients — into your practice management system, and reconciling each payment against what was originally billed. Insurance payments typically arrive as an electronic remittance advice (ERA / 835 transaction) or a paper explanation of benefits (EOB), both of which detail exactly what was paid, adjusted, or denied for every line item on a claim.
Posting isn't just data entry — it's the point where your revenue cycle gets its first real signal on whether a claim was paid correctly, underpaid against the contracted rate, or denied outright.
What poor payment posting costs your practice
When posting is rushed or purely automated with no review, the errors hiding inside a remittance never get caught.
Underpayments that go unnoticed and unrecovered
Delayed secondary claim filing after primary payment
Denials buried inside a remittance, left unworked
Lost visibility into true cash flow and AR health
Manual posting errors that misstate patient balances
Delayed, inaccurate patient statements
Every payment posted at Adrotack is reconciled against the contracted rate for that payer — not just accepted at face value. Underpayments and hidden denials are flagged the same day, before they age into write-offs.
How every payment gets reconciled
Receive ERA / EOB
Electronic remittances and paper EOBs are retrieved from the clearinghouse and payer portals daily.
Auto-post matched payments
Payments that match the expected, contracted amount are posted automatically for speed and consistency.
Manually review exceptions
Any payment that doesn't match the expected amount is routed to a specialist for line-by-line review.
Apply contractual adjustments
Write-offs and contractual adjustments are applied correctly, distinct from true underpayments.
Flag underpayments & denials
Confirmed underpayments and any denial reason codes are routed straight into our denial management workflow.
Reconcile daily deposits
Posted totals are reconciled against actual bank deposits, so nothing slips through unrecorded.
Payment posting services we provide
Electronic remittance (835) posting with automated matching
Manual EOB posting for payers without electronic remittance
Contractual adjustment verification against payer contracts
Underpayment identification and escalation
Secondary and tertiary claim triggering after primary posting
Daily deposit reconciliation against posted payments
