Payment Posting Services

Our Payment Posting Services

• Receive Payment Documentation

  We obtain remittance advice or Explanation of Benefits (EOB) from insurance payers, along with any accompanying payment checks or Electronic Fund Transfer (EFT) details.

• Verify Documents

  Next, we validate the received payment documentation to ensure accuracy and reconcile it with the claims submitted.

• Payment Allocation

  Our team applies the payment amount to the appropriate accounts or claims, matching the payments to the services rendered and corresponding patient accounts.

• Adjudication Review

  We verify that the payment aligns with the expected reimbursement based on the contracted rates and fee schedules with the insurance payer.

• Adjustment Processing

  We make adjustments as necessary, such as write-offs or contractual adjustments, for any contractual allowances or patient responsibility portions.

• Denial Handling

  Next, we identify and address any denied or partially denied claims included in the payment documentation, ensuring appropriate follow-up actions.

• Patient Responsibility Determination

  We also evaluate the patient's financial responsibility based on deductibles, co-pays, and co-insurance, and update the patient's account accordingly.

• Secondary Insurance Processing

  Next, we determine if any claims require secondary insurance billing and initiate the necessary processes for reimbursement.

• Refund Processing

  Our experts identify overpayments or duplicate payments, and initiate the refund process to return excess funds to the payer or patient.

• Reconcile Payments

  We perform a thorough reconciliation of the payment posting activities with the practice management system, ensuring that the accounts balance accurately.

• Reporting and Analysis

  Lastly, we generate reports to analyze payment trends, identify payment discrepancies, monitor reimbursement rates, and track any payment-related issues.