Payment Posting & Reconciliation

Practices rarely buy one stage in isolation. See the full medical billing service line, read how our five-step onboarding process works, or compare what makes Oremote different before you decide.

• What is the difference between an ERA and an EOB?

  An ERA is the electronic remittance advice a payer transmits back to the practice; an EOB is the human-readable explanation of benefits covering the same adjudication. Both state what was allowed, what was paid, what was adjusted, and why. The ERA is what allows posting to be automated — and what makes it worth reconciling line by line rather than in bulk.

• Why does posting need to keep pace with remittances?

  Because unposted payments make every other number wrong. Until a remittance is posted, A/R overstates what is outstanding, secondary claims cannot go out, patient statements bill the wrong balance, and underpayments stay invisible. A posting backlog is not an administrative delay; it is a reporting blackout.

• How are contractual adjustments handled?

  A contractual adjustment is the difference between the billed charge and the rate the payer contract allows. It is written off rather than billed to the patient. Posting it line by line is what lets the allowed amount be checked against the fee schedule, which is the only way an underpayment is distinguishable from a normal write-off.

• What happens when a payment does not match the expected allowable?

  It is flagged as an underpayment and worked as a payer issue instead of being adjusted away. This is the practical argument against bulk posting: a payment posted in aggregate matches the total and hides the variance, while a payment posted against the contracted rate exposes it at the line where it happened.

Still deciding? Read every medical billing FAQ or talk to the Oremote billing team about your practice.