Payment Posting & Remittance
Automated 835/ERA and manual EOB posting with line-level reconciliation - so cash is accurate, variances are visible, and underpayments never slip through.
MedXFlow ingests electronic remittance (835/ERA) and posts payments, adjustments and patient responsibility at the line level, reconciled against what was billed. Contractual variances and underpayments are flagged, denials are automatically routed to the denial-management workflow, and daily cash is balanced against deposits so the books always tie out.
What's inside Payment Posting & Remittance
- Auto ERA/835 posting - Electronic remittances post automatically at line level, with manual EOB entry where needed.
- Underpayment detection - Payments are compared to contracted rates so short-pays are caught, not accepted.
- Denial routing - Denied and adjusted lines flow straight into denial management with the reason code attached.
- Daily cash reconciliation - Posted payments are balanced against bank deposits so cash always ties out.
How it works
- Remittance received - 835/ERA files and paper EOBs are ingested.
- Posted line by line - Payments, adjustments and patient balances post against the original charges.
- Variances flagged - Underpayments and denials are surfaced and routed for action.
What you get
- Accurate cash and a balanced daily close
- Underpayments recovered, not written off
- Denials actioned the moment they post
- Clear patient balances ready for statements
Frequently asked questions
What is payment posting in medical billing?
Payment posting records payer and patient payments and adjustments against the original charges, reconciled at the line level, so cash is accurate and denials and underpayments are surfaced immediately.
What is an ERA (835)?
The 835 (electronic remittance advice, or ERA) is the payer's machine-readable explanation of how a claim was paid, adjusted or denied. It is what lets payments auto-post instead of being keyed from paper EOBs.
What is the difference between the allowed amount and the billed amount?
The billed amount is what the provider charges; the allowed amount is what the payer's contract permits. The difference is the contractual adjustment; anything paid below the allowed amount is an underpayment worth recovering.
What is auto-posting?
Auto-posting reads the 835/ERA and posts payments, adjustments and patient responsibility automatically at the line level, routing denials into the denial workflow. MedXFlow also flags underpayments against contracted rates.