Do you post patient payments as well as insurance payments?

Yes, both, so the balance a patient sees on a statement reflects everything received.

What happens when a payment does not match the contracted rate?

It is flagged as an underpayment and worked rather than adjusted off. Catching these consistently depends entirely on posting at the line level.

How quickly are payments posted?

On the same cycle they are received, because unposted payments make your aging report wrong and your follow-up work chase money you already have.

Service

Payment posting and reconciliation

Posting is where underpayments are either caught or lost. A payment posted as a lump sum against a balance hides the line that paid short.

Posted at the line, not the total

Electronic remittance advice is posted line by line with the adjustment and remark codes intact, and paper EOBs are posted the same way. This is what makes it possible to see that a claim was paid, but paid less than the contracted rate, which a lump-sum posting simply cannot show.

Reconciled against the bank

Posted payments are reconciled against actual deposits so that what your system says you were paid matches what you actually received. Discrepancies get investigated rather than adjusted away.

Underpayments surfaced

Line-level posting makes contractual underpayments visible, along with patient responsibility that was moved unexpectedly and adjustments taken without an obvious basis. Those become work items instead of quietly becoming your write-off number.

What is included

ERA and manual EOB posting
Line-level adjustment review
Deposit reconciliation
Underpayment identification

Payment posting and reconciliation — referencelast verified 2026-08-15

Adjustment code standard	CARC and RARC codes maintained by X12source: X12, Claim Adjustment Reason Codes

Common questions

Do you post patient payments as well as insurance payments?: Yes, both, so the balance a patient sees on a statement reflects everything received.
What happens when a payment does not match the contracted rate?: It is flagged as an underpayment and worked rather than adjusted off. Catching these consistently depends entirely on posting at the line level.
How quickly are payments posted?: On the same cycle they are received, because unposted payments make your aging report wrong and your follow-up work chase money you already have.

Other services

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Next step

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