ERA (835) Auto-Posting
We import and validate Electronic Remittance Advice (835) files directly into your PM/EHR system, resolving exception queues and unmatched claims rapidly.
Medical Payment Posting Services for Healthcare Practices
Doc Flow RCM delivers accurate ERA and EOB payment posting, patient payment reconciliation, contractual adjustment tracking, and denial identification for medical practices and healthcare providers across the United States.
- ✓ Automated ERA (835) & Manual EOB Payment Posting
- ✓ Patient Responsibility, Copay, and Deductible Reconciliation
- ✓ Contractual Adjustments, Write-Offs, and Secondary Billing Triggers
- ✓ Daily Bank Deposit Balancing & Zero-Pay Denial Flagging
End-to-End Payment Posting Support From Remittance Intake to Ledger Reconciliation
Doc Flow RCM manages insurance remittances, patient payments, contractual adjustments, denial routing, and daily bank reconciliation through a structured financial workflow.
Manual EOB Posting
Paper Explanations of Benefits (EOBs), scanned lockbox batches, and non-electronic payer checks are posted line-by-line with 99.8% audit accuracy.
Patient Payment Posting
Front-desk copays, patient portal payments, credit card batches, and mailed patient checks are applied accurately to corresponding encounters.
Contractual Adjustments
Payer fee schedules, contractual write-offs (CO-45), sequestration reductions, and non-covered adjustments are verified before closing balances.
Denial & Zero-Pay Identification
CARC and RARC denial codes are captured during posting and immediately routed to A/R and denial management worklists for timely appeals.
Secondary Claim & Balance Transfer
After primary insurance posting, remaining balances are automatically queued for secondary/tertiary insurance billing or patient statements.
Bank Deposit Reconciliation
Every EFT, ACH deposit, and paper check batch posted in your billing software is reconciled daily against actual bank statement deposits.
Credit Balance & Refund Audits
Overpayments, duplicate postings, recoupments, and unapplied cash reserves are audited and resolved to maintain compliant patient ledgers.
How Our Payment Posting Process Works
We follow a strict 24-hour turnaround workflow from remittance retrieval through daily deposit reconciliation and A/R routing.
01
Remittance Retrieval
We collect daily ERA (835) files, clearinghouse batches, payer portal EOBs, and bank lockbox logs.
02
Batch & Deposit Verification
Check numbers, EFT trace IDs, and payment totals are logged and matched against bank deposits before posting.
03
Line-Item Charge Posting
Payments, allowed amounts, coinsurance, copays, and deductibles are applied to each CPT line item.
04
Denial & Underpayment Flagging
Zero-pays, partial payments, and CARC/RARC denial codes are categorized and assigned to A/R specialists.
05
Balance Transfer & Crossover
Remaining balances are crossed over to secondary payers or released to clean patient billing queues.
06
Daily Closing Reconciliation
End-of-day batch reports are balanced to the penny against EHR ledgers and shared with your practice.
Complete Financial Accuracy Across Every Remittance Channel
Accurate payment posting is the backbone of a healthy revenue cycle. We eliminate unapplied cash, prevent wrongful write-offs, and keep patient statements error-free.
Insurance Remittance Posting (ERA & EOB)
- ✓Automated 835 file import and exception resolution
- ✓Manual line-item EOB entry for commercial, Medicare, and Medicaid
- ✓Out-of-network, workers’ comp, and auto-injury check posting
- ✓Interest payments, incentive bonuses, and capitation logging
Contractual Write-Off & Fee Schedule Verification
- ✓Validation of allowed amounts against contracted payer fee schedules
- ✓Prevention of unauthorized or automated over-adjustments
- ✓Tracking of Medicare sequestration (2%) and MIPS adjustments
- ✓Identification of silent underpayments for immediate appeal
Patient Responsibility & Portal Payments
- ✓Posting of time-of-service copays, deductibles, and coinsurance
- ✓Allocation of unapplied deposits and pre-procedure collections
- ✓Merchant credit card, CareCredit, and patient portal reconciliation
- ✓Clean statement generation only after all insurance adjudications
Denial Routing, Recoupments & Daily Balancing
- ✓Standardized ANSI CARC and RARC reason code documentation
- ✓Handling of payer takebacks, offsets, and overpayment letters
- ✓Daily EFT/ACH and lockbox deposit log matching
- ✓Month-end closing support and unapplied cash cleanup
Why Medical Practices Choose Doc Flow RCM for Payment Posting
Our dedicated payment posting specialists work directly inside your existing billing software to accelerate cash flow and give you real-time visibility into practice collections.
24-Hour SLA
Same-Day & Next-Day Posting
All ERAs, EOBs, and patient batches are posted within 24 hours of receipt so your A/R aging reports and patient balances are always up to date.
Faster A/R Recovery
Immediate Denial Escalation
Because our posters flag denials the day the EOB arrives, your A/R team gains weeks of extra time to rework claims before timely filing limits expire.
Zero Unapplied Cash
Clean Ledgers & Suspense Queues
We resolve unposted ERA exceptions, suspense accounts, and unallocated patient credits that often distort monthly financial reporting.
All Major EHRs
Seamless PM & EHR Integration
Experienced across AdvancedMD, eClinicalWorks, Athenahealth, Kareo/Tebra, NextGen, Epic, DrChrono, and Greenway Health.
Patient Satisfaction
Accurate Patient Statements
By verifying primary and secondary payments accurately before transferring balances, we eliminate confusing or duplicate patient bills.
100% HIPAA Compliant
Secure & Audited Workflows
All remittance files, bank logs, and patient records are handled under strict HIPAA security protocols with multi-tier quality audits.
Medical Specialties We Support Across the United States
From high-volume primary care clinics to complex surgical practices with multi-procedure modifiers, we customize posting rules to match your specialty.
Pain Management
Orthopedics & Spine
Psychiatry & Behavioral Health
Cardiology & Vascular
Primary Care & Internal Medicine
General & Specialty Surgery
Ambulatory Surgery Centers (ASC)
ENT & Otolaryngology
Neurology & Neurosurgery
Gastroenterology
Radiology & Diagnostic Imaging
Urgent Care & Multi-Specialty
Frequently Asked Questions About Payment Posting Services
Clear answers on how Doc Flow RCM manages ERA/EOB posting, bank reconciliation, and EHR integration.
Q1. What is the turnaround time for daily ERA and EOB payment posting?
We maintain a 24-hour turnaround time (same business day or next business morning) for all electronic remittances (ERAs), scanned paper EOBs, and patient payment batches.
Q2. How do you handle denials and underpayments discovered during posting?
Whenever a zero-pay claim, partial payment, or contractual underpayment appears on an ERA or EOB, our team logs the exact ANSI CARC/RARC denial reason codes and routes the claim directly to the denial management queue for immediate follow-up.
Q3. Do you reconcile posted payments with our practice bank deposits?
Yes. We perform daily deposit reconciliation by matching every posted EFT, ACH transfer, credit card settlement, and lockbox check batch in your EHR/PM software against your bank deposit log, ensuring zero discrepancies at month-end.
Q4. Can your team work inside our existing EHR and Practice Management software?
Absolutely. Our specialists work directly within your current EHR, clearinghouse, and billing system via secure HIPAA-compliant access—no software migration is required.
Q5. Can you help clean up a backlog of unposted ERAs or unapplied cash?
Yes. In addition to ongoing daily payment posting, we provide dedicated backlog cleanup and credit balance audits to resolve unapplied payments, suspense queues, and historical ledger discrepancies.
Ready to Streamline Your Payment Posting & Daily Ledger Reconciliation?
Partner with Doc Flow RCM to eliminate posting backlogs, catch payer underpayments early, and maintain 99.8% accuracy across every claim and patient account.