Payment Posting & Patient Billing

Yes. We post electronic remittances (ERAs/835s) and manual paper EOBs, applying payments, contractual adjustments, and patient responsibility line by line against the correct claim and date of service. We also post patient payments and zero-pay or denial remits so the account reflects the true balance. The goal is that every dollar on the remit is accounted for in your system, not lumped into a bulk entry.

We post against your expected reimbursement, meaning the contracted or fee-schedule rate for each CPT or HCPCS code, not just whatever the payer sent. When the paid amount falls short, the variance is flagged as a potential underpayment rather than written off silently. That turns posting into a checkpoint that surfaces revenue leakage instead of hiding it.

We read the CARC/RARC codes on the remit to understand why the payer reduced or adjusted the line. Legitimate contractual write-offs are posted as such, while suspected underpayments and incorrect adjustments are flagged and routed for follow-up or appeal rather than absorbed. You set the threshold and the workflow, and we make sure nothing is quietly lost.

We work as an extension of your office inside the software you already use, so payments post into the same system your front desk and billers see. We have hands-on experience across common practice management and EHR platforms and adapt to your posting screens, payment batches, and adjustment codes. There is no requirement to switch systems to use this service.

We start by mapping your payers, remit sources, fee schedules or contracted rates, and your existing adjustment and write-off codes so postings match how your books are already kept. We confirm access to your system and remittance sources, agree on reconciliation rules and patient statement timing, then run an initial period closely before settling into a routine cadence. Exact timing depends on the number of payers and how your remits are delivered, which we scope on a call.

We operate under a signed Business Associate Agreement (BAA) and access PHI only inside your environment under your access controls, following minimum-necessary practice. Posting and patient billing run through your secured systems rather than unsecured channels. We never collect or store patient health information through web forms on our site.

Yes. DME remits often involve rental versus purchase, capped rental month tracking, and adjustments tied to modifiers and HCPCS that differ from professional claims, and we post with those rules in mind. Partial payments, recoupments, and offsets on a remit are applied to the correct rental period or item rather than the wrong line. This keeps your AR accurate when a payer pays a rental in installments or claws back a prior payment.

You keep full visibility because postings live in your own system, and we agree on regular reporting that fits how you track performance, such as posted versus expected, flagged underpayments, unposted or unreconciled items, and aging patient balances. We do not hide work behind a black box, since the point of accurate posting is clean, auditable books you can see at any time. We tailor the cadence and format to what your team needs.

We do not publish flat rates because the right structure depends on your specialty, payer mix, monthly volume, remit format, and whether you want posting alone or posting plus patient statements and balance follow-up. After a short scoping conversation we put together pricing matched to that scope. This keeps you from paying for work you do not need or being underquoted for complexity you do have.