REMITTANCE INTO ACTION

Medical Payment Posting Services That Turn Remittance Data Into Revenue Intelligence

Q: What is the difference between an ERA and an EOB?

An ERA is an Electronic Remittance Advice used for electronic payment and adjudication information. An EOB is an Explanation of Benefits, often provided as a statement explaining how a claim was processed. Both provides information needed for posting and follow-up.

Q: How quickly are payments posted after receipt?

All Payments received before 2pm ET are typically posted on the same day. Payments received after working hours or on weekends are posted by our Operations team in India and completed within 24 hours.

Q: How do you handle partial payments or adjustments on the EOB?

We reconcile the payment to the EOB line-by-line. If it's a partial payment, we post the amount received and flag the claim for manual review to verify whether the balance is for patient billing. Incase, if there's a contractual adjustment or write-off, we post it correctly and mark it as non-collectible.

Q: How do you handle denied claims during payment posting?

Denied claims are marked with the denial reason codes and categorized as appealable, non-appealable, or write-off. Appealable denials are flagged for our denial management team. Non-appealable denials are written off.

Q: How do you handle secondary insurance coordination?

After primary insurance payment is posted, if the EOB indicates secondary insurance, we flag the claim for secondary billing and submit to the secondary insurance and start tracking the secondary payment cycle. On receiving the secondary payment, we apply the remaining patient responsibility amount if applicable.

Our specialists ensure every payment is posted accurately to the correct claim and patient, so your AR stays clean and your cash flow is predictable.

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Quick Access: ERA/EOB Posting Payment Reconciliation Exception Intelligence

Your Remittance Contains More Than a Payment

Why should payment posting be connected to denial and A/R workflows?

Remittance data explains how the payer adjudicated a claim. It may reveal denials, patient responsibility, contractual adjustments, possible payment variances, recoupments or credit balances. Posting that information without routing the next action leaves valuable revenue-cycle intelligence unused.

Payment Posting Process at Shoreline Medical Billing

The Three-Step Validation

We don't just post payments. We validate every payment against claim data, payer EOBs, contractual agreements and patient responsibility with accuracy that keeps your AR clean.

EOB Analysis & Payment Reconciliation

Reconcile the payment to the EOB issued by the Insurance to get details on what's paid, denied, adjusted, or pending.

What we validate:

Payment amount vs. EOB
Claim identification
Payer adjustments like contractual write-offs, denials or pending adjustments
Denial Reason codes
Patient responsibility
Secondary insurance flag
Denial categorization

Result: Payment amount is verified against EOB. No posting to wrong claim. No missed adjustments or denials.

Accurate Claim & Patient Posting

Posting the payment to the correct claim and patient. Apply contractual adjustments, flag patient responsibility and mark denials.

What we post accurately:

Insurance payment amount
Contractual adjustment
Patient responsibility
Denial categorization
Secondary insurance flag
Payment date & reference
Apply specialty-specific posting rules

Result: Payment posted to correct claim, correct patient, all adjustments and flags applied accurately.

Continuous AR Aging Monitoring & Discrepancy Resolution

Monitor AR aging to catch discrepancies. Investigate payer discrepancies, EOB misreads, EHR data mismatches if any and correct posting within 24–48 hours.

What we monitor:

AR aging trends
Posting discrepancies
Secondary claims not submitted
Patient responsibility collection
Denial reversal opportunities
Contractual adjustment validation

Result: Accurate AR and aged balances. No accumulation of discrepancies.

Our Advantage

Why Choose Shoreline for your Payment Posting & Reconciliation Services?

Controlled Workflow with Human Review

Routine electronic remittance activity handled efficiently through approved automated workflows while exceptions are routed for human review.

Intelligent Reconciliation

Posting activity that aligns with the appropriate payment and remittance records. Flags unresolved items.

Turn Denials Into Work

Denials identified during posting are moved directly into the denial workflows immediately for further follow-up.

Accurate Patient Responsibility Management

Accurate adjudication and posting of patient's responsibility along with follow-up initiation.

FAQs

Frequently Asked Questions

Everything you need to know about our payment posting and reconciliation process.

What is the difference between an ERA and an EOB?

How quickly are payments posted after receipt?

How do you handle partial payments or adjustments on the EOB?

How do you handle denied claims during payment posting?

How do you handle secondary insurance coordination?

Keep Your AR Clean with Accurate Payment Posting

Identify posting backlogs, reconciliation gaps, unresolved adjustments and remittance exceptions affecting downstream RCM. Talk to an RCM Expert at Shoreline

Talk to an RCM Expert