Payment Posting Services

Payment posting looks like data entry until it is done badly. Posted carelessly, a payment hides an underpayment, buries a denial, or creates a patient balance that should never have been billed — and each of those errors is harder to find after the fact than it would have been to prevent.

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In short

Payment posting records what each payer actually paid, preserving the adjustment and remark codes that explain any reduction. Postings are reconciled to bank deposits and compared against contracted rates, so underpayments surface instead of posting silently as correct payments.

Rev Cura posts electronic remittances and paper EOBs with the adjustment and remark codes preserved, reconciles postings against deposits, and flags variances between what your contract says you should have been paid and what actually arrived.

Posting is also the earliest point at which a denial becomes visible. A remittance frequently contains refusals alongside payments, and a posting process that does not route those into the denial workflow is losing claims at the exact moment it could have caught them.

Who this is for

Practices that suspect they are being underpaid but cannot prove it
Practices where postings do not reconcile cleanly to bank deposits
Groups with several payers on different contracted rates
Practices generating patient balances that turn out to be wrong
Practices carrying credit balances nobody has reviewed

What goes wrong

Problems this solves

Underpayments absorbed silently

If nothing compares the payment to the expected contracted rate, a short payment posts exactly like a correct one. The loss is invisible and, because it repeats, it compounds.

Denials buried inside remittances

Adjustment and remark codes explain why a line was reduced or refused. Collapsed into a single write-off at posting, that information is gone and the claim is never worked.

Postings that do not reconcile

When posted totals do not tie to deposits, the practice cannot tell whether the difference is a timing issue, a posting error or money that never arrived.

Patient responsibility calculated wrongly

Misapplied deductible, co-insurance or contractual adjustment produces a statement to a patient who does not owe it — the most expensive kind of billing error to unwind.

Credit balances left in place

Overpayments sitting unresolved are both a distortion of the ledger and an obligation that does not go away by being ignored.

The process

How we run it

STEP 01

Electronic remittance posting

Remittances posted with adjustment and remark codes preserved at line level, so the reason for every reduction survives into your system.

STEP 02

Manual posting

Paper EOBs, correspondence and patient payments posted with the same level of detail rather than as bulk entries.

STEP 03

Reconciliation

Postings reconciled to deposits so that nothing goes missing between the payer, the bank and the ledger.

STEP 04

Variance review

Payments compared against expected contracted rates, with shortfalls flagged as variances for follow-up rather than accepted as final.

STEP 05

Denial hand-off

Refusals and reductions found inside remittances are routed straight into the denial workflow the same day, with the cause already recorded.

STEP 06

Credit balance identification

Overpayments and credits are surfaced for proper handling instead of being left to accumulate.

What you get

Deliverables

Posted and reconciled payments

In your system, tied to your deposits, with codes intact.

A variance list

Payments that fell short of the expected contracted rate, ready to be worked.

Denials routed for action

Extracted from remittances rather than left inside them.

A credit balance report

What is owed back and to whom, surfaced rather than buried.

How it is measured

What we report on

Agreed at the start of the engagement, reported on a fixed rhythm, with commentary rather than a raw export.

Payments posted and posting turnaround time Reconciliation exceptions Underpayment variances identified by payer Denials extracted from remittances Credit balances identified Patient responsibility adjustments corrected before billing

We report your figures. We do not publish benchmark numbers we cannot evidence for your practice.

Benefits

What changes

Underpayments visible instead of absorbed
Denials caught at posting rather than found in aged AR
Postings that reconcile to your deposits
Patient balances that are correct before a statement goes out
Credit balances handled deliberately rather than accumulating

Scope

What stays with your practice

Posting happens in your practice management system, so your books remain the single source of truth. We do not maintain a shadow ledger.

Refunding an overpayment is a decision for your practice. We identify credit balances and prepare the detail; the payment itself is yours to make.

Contracted rate comparison depends on having current contract terms. Where a fee schedule is missing or out of date we will tell you, because variance review without it is guesswork.

Why practices choose Rev Cura →

Frequently asked questions

Do you post to our system or yours?

Yours. Posting happens in your practice management system so your books remain the single source of truth.

What happens when a payment is short?

It is flagged as a variance and worked as an underpayment. It is not written off automatically, because an automatic write-off is how systematic underpayment becomes invisible.

How quickly are payments posted?

Turnaround is agreed as part of onboarding and reported against, because slow posting delays every downstream step including denial work.

Do you need our payer contracts?

For variance review, yes — expected rates come from your contracted fee schedules. Without them we can post accurately but cannot tell you when you have been underpaid.

What do you do with credit balances?

We identify and report them with the supporting detail. Deciding and making a refund remains with your practice.

Can you post historical remittances during transition?

Yes, where it is needed to make the opening AR position accurate. It is scoped as part of transition rather than assumed.

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