ZanexMed medical billing and IDR company logo

REVENUE CYCLE MANAGEMENT

Medical Payment Posting Services You Can Trust

Medical payment posting services apply every insurance and patient payment to the right claim, record adjustments and denials, and reconcile the totals to your bank deposits. ZanexMed posts ERAs and EOBs accurately, flags underpayments and gives you a clear view of cash flow.
Get a Free Posting Review
See Pricing Plans
  • ERA and EOB posting by trained staff
  • Underpayments flagged against contracts
  • Deposits reconciled every month
Get Your Free Billing Audit
Tell us about your practice and a billing specialist will contact you.






    Payment Posting in Medical Billing

    What Are Medical Payment Posting Services?

    Medical payment posting services record each payment, adjustment and denial from insurers and patients against the correct claim in your billing system. Accurate posting shows what was paid, what is still owed and what was denied or reduced.

    Payers explain every payment in an electronic remittance advice (ERA) or a paper explanation of benefits (EOB). Posting means reading that detail and applying it line by line, including the contractual adjustment, the patient share and any denial reason codes.

    When posting is wrong, everything downstream is wrong. Patients get the wrong statements, A/R reports are off and underpayments go unnoticed.

    ERA vs EOB Posting

    Our medical payment posting services use the fastest method each payer allows.
    MethodHow it worksBest for
    ERA (835) auto postingAn electronic file posts payments and adjustments to claims automaticallyHigh volume payers with ERA enrollment
    Manual EOB postingStaff read the paper or portal EOB and key in each linePayers without ERA or with unusual formats
    Patient paymentsCopays, statement payments and portal payments are posted to the accountAccurate patient balances

    How Our Medical Payment Posting Services Work

    Our medical payment posting services follow six steps so every dollar is accounted for.

    1. Receive remittances

    We collect ERAs, EOBs and EFT notices from every payer.

    2. Match to claims

    Each payment is matched to the right patient, claim and service line.

    3. Post and adjust

    We post payments, contractual adjustments and patient responsibility.

    4. Flag problems

    Denials, underpayments and zero pays are flagged for follow up.

    5. Reconcile deposits

    Posted totals are matched to bank deposits to catch gaps.

    6. Secondary and patient billing

    Balances move to secondary insurance or to the patient accurately.

    Medical payment posting services workflow from remittance to reconciled bank deposit

    Underpayment Detection

    Posting is also your first line of defense against underpayment. When we post a payment, we compare the allowed amount with your contract fee schedule. If a payer paid less than it should, the claim is flagged instead of written off.

    Flagged claims go to appeal through our denial management services. Out of network underpayments can move on to IDR billing services. The difference is also visible in your billing reports. For background on remittances, see the Centers for Medicare and Medicaid Services.

    What Accurate Posting Prevents

    Careful posting protects the numbers every other decision depends on.
    • Wrong patient statements and billing disputes
    • Unnoticed payer underpayments
    • Inflated or deflated A/R reports
    • Missed denials sitting in zero pay lines
    • Deposits that do not match posted totals
    • Late secondary billing

    GOT QUESTIONS?

    Medical Payment Posting Services FAQs

    Medical payment posting is the process of recording insurance and patient payments, adjustments and denials against the correct claims in the billing system, then reconciling them to deposits.
    An ERA is the electronic remittance advice an insurer sends as a file, usually an 835. An EOB is the explanation of benefits, often on paper or in a payer portal. Both explain how a claim was paid. See our EDI medical billing services for ERA setup.
    A contractual adjustment is the part of the billed charge that the provider agrees to write off under the payer contract. It is posted as an adjustment, not billed to the patient.
    Reconciliation confirms every payment posted matches the money that reached your account. It catches missing payments, duplicate postings and EFT problems early.
    We compare each allowed amount with your contract fee schedule. Claims paid below contract are flagged for appeal or negotiation instead of being written off.
    Posting is normally included in a percentage of collections plan, typically 3% to 8% for full billing. See our pricing page for details.

    RELATED SERVICES

    Explore More ZanexMed Billing Services

    EDI Medical Billing

    Electronic claims, ERAs and eligibility handled for you.

    Denial Management

    Find the root cause of denials and appeal with proof.

    Medical AR Management

    Follow up on aging claims until they are paid.

    Billing Reports

    Clear dashboards for claims, A/R and denials.

    Ready for Payment Posting You Can Trust?

    Talk to ZanexMed about medical payment posting services and get a free review of your posting accuracy.
    Get a Free Posting Review