ERA posting
Starts whenAn 835 arrives
Matches every claim and line, sorts paid, partial, zero, bundled, reversed and forwarded to secondary, and posts with your adjustment codes.
Your books match the bank every day, and your team only sees the money that truly doesn't add up.
An 835 from the clearinghouse or your billing system, or a paper EOB that is read and reviewed.
Balanced, not a duplicate trace number, and paid to the right payee.
By payer claim number, patient control number, or member, date of service and charges.
Payments and adjustments posted by line, with CARC codes mapped to your adjustment codes.
The bank deposit tied to its ERA by EFT trace number; virtual cards and checks by amount and payer.
Unmatched money, credit balances, recoupments and short pays each start their own workflow.
Each one runs on its own, inside the systems you already use, and only asks a person when your rules say so.
Starts whenAn 835 arrives
Matches every claim and line, sorts paid, partial, zero, bundled, reversed and forwarded to secondary, and posts with your adjustment codes.
Starts whenA scanned EOB arrives
Read, extracted and posted after a review, so paper payers stop being a separate process.
Starts whenA deposit lands in your bank account
Tied to its ERA by EFT trace number. Money without a remittance, or a remittance without money after three business days, becomes a work item.
Starts whenAnything is written to your billing system
Reads the posting back and raises an exception when it didn't land.
Starts whenMoney can't be matched to a claim
Posted to unapplied so the deposit balances, researched, and proposed for return after 60 days.
Starts whenThe primary pays and a balance remains
Confirms the crossover or sends the secondary claim.
Starts whenA claim balance goes below zero
Finds the cause, separates payer and patient credits, and prepares the refund or offset for your approval, with Medicare's 60-day clock tracked.
Starts whenPatient responsibility remains and no other payer is pending
Moves the balance only when the patient can be billed. Never for Medicaid or QMB patients.
Clean remittances post themselves. What reaches a person is the exception, with the ERA, the deposit and the claim side by side.
Through a bank feed, or with BAI2 or CSV statement files and lockbox files where you have them. Deposits are matched to remittances by EFT trace number.
No. It compares what your system already posted with the ERA and works only what's left.
They're scanned, read and posted after a quick review, alongside your electronic remittances.
worklist prepares a grouped manual task and checks on the next sync that it was posted.
We are working with a small group of billing and operations teams to shape worklist. Tell us where your work gets stuck, and we'll show you how it would run.