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PAYMENT POSTING SERVICES

Payment Posting Services That Match Every ERA and EOB to Your Contracted Rate

Our billers check every ERA and EOB against your contracted rate before it posts, not weeks later during a reconciliation review. A few dollars short on one claim barely matters. The same shortfall across a hundred claims is real revenue, and it stays invisible in a ledger that already looks balanced.

MedSole RCM built this for practices whose payment posting drifts a little off the contracted rate every month, until the ledger stops matching what it should show. You get every discrepancy flagged the day it posts, with the reason attached, not folded into next month's report.
If your posted payments don't match your contracted rates and nobody's caught it yet, a quick review will show you where.

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No cost to look. We sign a BAA before we touch a single remittance.

99%

Clean Claim Rate

4,000+

Providers Served

50+

EHR/EMR Systems Supported

2.99%

of Collections

WHAT WE POST AND MATCH

What Gets Posted to Your Account

Every remittance goes into the same queue, whether it lands as an electronic ERA or a paper EOB a payer still mails. A biller checks each one against six things before it is marked posted.

BEFORE IT IS MARKED POSTED

Six Checks Applied to Every Remittance

01

The Patient's Copay or Deductible

Collected at check-in and logged against the visit.

02

The Insurance Payment on the Primary Claim

Matched to the exact claim it was paying for.

03

A Secondary Payer's Balance

Posted after the primary payer's portion clears.

04

A Contractual Write-Off

Applied when the payer's contract requires it, not assumed.

05

A Refund a Payer Takes Back

Sometimes months after the original payment posted.

06

A Partial Payment

Flagged the moment it does not match the full claim amount.

Medical payment posting specialist matching ERA and EOB payments to contracted payer rates
CONTRACTED RATE REVIEW

The Check That Actually Matters

Matching a payment to a claim is the easy part. What takes real attention is comparing that payment against your contracted rate, since what a payer agreed to pay and what shows up in the deposit do not always match.

A coding edit can apply wrong, or a fee schedule can shift on the payer's end without notice. Either way, the payment gets logged against your actual contract, not just against the claim.

INSIDE YOUR EXISTING SYSTEM

Where It Lives Once It Is Posted

We post directly inside the EHR or practice management system you already run. A payer's remittance shows up against the same claim your front desk already sees.

If a balance moves to a secondary payer or a patient statement, that happens in the same record, without moving your team to another platform.

Why This Slows Down

Why payment posting backs up even in well-run practices

Manual volume, unresolved payment mismatches, and delayed reconciliation can turn a routine posting queue into a growing revenue problem.

Manual posting can't keep pace with volume

Most practices post payments by hand for anything that doesn't arrive as a clean ERA file, and one person usually handles it between other tasks. That works on a quiet week. A batch of eighty paper EOBs on a busy Monday is a different story.

A backlog from one bad day doesn't clear by the next morning. Monday's unposted remittances still need work on Tuesday, and Tuesday's new batch stacks on top of what's already sitting there. Eighty unposted payments compound fast when nobody's added to close the gap.

Paper EOBs and payment documents waiting for manual posting
Payment remittance being reviewed for a mismatch

A mismatched payment gets set aside, and stays there

Most remittances match the claim without any trouble. The ones that don't, a partial payment or a bundled procedure paid at one rate instead of two, take real time to sort out. Under deadline, staff post the clean ones first and set the hard one aside for later.

Later rarely arrives on its own. A remittance set aside for review usually has no real tracking behind it, no flag telling anyone to come back. It waits on someone to remember, and memory is the least reliable part of any billing workflow.

Nobody notices until the numbers stop matching

A growing pile of unmatched remittances stays invisible until someone runs a reconciliation report, usually once a month. By then, a short payment from six weeks ago has aged past the point where chasing it costs less than writing it off.

Some of that cost is procedural, and some of it is memory. Whoever posted the remittance may not recall the details six weeks later, and most payers narrow their inquiry window the longer a claim sits unresolved. Waiting shrinks the odds of ever fixing it.

Financial reconciliation report being reviewed

MedSole flags a short payment the day it posts, not the day someone finally reconciles the month. One team owns every remittance, checked against your contracted rate before it's logged, so a bundled procedure paid at one rate instead of two, or a write-off applied wrong, gets caught the same week instead of the same quarter.

WHERE DOES YOUR POSTING BACK UP

Which of these sounds like your practice right now

Most payment posting problems stay invisible until someone finally reconciles the books and the numbers don't add up. Check what's actually happening below.

Get a real look at what's slipping through

A free review checks a sample of your recent remittances against your contracted rates and shows you where the gaps are. No cost, no obligation.

What This Costs

Payment posting is already
included in your rate

One percentage covers the full revenue cycle, including the team checking every remittance against your contracted rates.

Full-Service RCM
2.99 %
of collections
Payment posting included

Payment posting doesn’t carry a separate charge

It’s built into full-service RCM at 2.99% of collections, the same rate that covers registration through reporting.

A short payment that slips through still gets caught

The same team already watching your claims and your A/R catches it. No separate vendor bills you again for another piece of the same cycle.

No extra payment-posting fee

You pay one rate, and contracted-rate verification is already part of it.

See Everything Included at 2.99%
WHAT PRACTICES ASK

Questions practices ask about payment posting

These are the questions practices usually ask before handing posting off to someone else.

Still have a question we didn't cover?

Tell us what's going on with your posting, and someone who actually works remittances will get back to you.

Q1 What is payment posting in medical billing?

Payment posting is the step where a payer's remittance, an ERA file or a paper EOB, gets matched to the claim it's paying for. A biller checks the amount against your contracted rate, records any adjustment or write-off, and updates what the patient still owes. It happens after a claim gets paid or denied, and it's the step that shows whether the practice actually collected what it was owed.

Q2 What's the difference between an ERA and an EOB?

Both documents explain how a payer processed a claim, but they arrive differently. An ERA is an electronic remittance file that a system can read and post automatically, often covering many claims in one batch. An EOB is the paper or PDF version, usually covering a single claim, and it has to be read and entered by hand unless the payer offers an electronic option. Most payers send one or the other, and a practice working with several payers usually handles both.

Q3 Does payment posting cost extra if I'm already running full RCM with MedSole?

No. Payment posting doesn't carry its own charge. It's included in full-service RCM at 2.99% of collections, the same rate that covers registration, coding, claims, and AR follow-up. You're not billed twice for one piece of the cycle, and the team checking your remittances against your contracted rates is the same team already running the rest of your billing. If a shortfall shows up in posting, it often points to something upstream, and one team catches both instead of two vendors each seeing half the picture.

Q4 Is payment posting the same as AR follow-up?

No. Payment posting happens when a payment arrives and gets checked against the claim and your contracted rate. AR follow-up happens when a claim hasn't been paid at all, and someone has to chase the payer to find out why. A posting problem can turn into an AR problem if a short payment sits unflagged long enough, but they're two different jobs. MedSole runs both under one team, so a gap in one gets caught by the other instead of falling between them.

Q5 Can this work inside my existing EHR or practice management system?

Yes. We post payments directly inside the EHR or practice management system your practice already runs, whether that's an ERA file read automatically or a paper EOB entered by hand. Nothing moves to a separate platform, and your front desk sees the same claim record either way. If you use a clearinghouse for remittances, we work inside that too.

Q6 Is this HIPAA compliant?

Yes. We sign a Business Associate Agreement before we access a single remittance, and every payment we post moves through encrypted, HIPAA-compliant channels. Your practice keeps full access to every record at all times.