Payment Posting & Reconciliation Agent
Close the loop on your revenue cycle.The Payment Posting & Reconciliation Agent monitors, matches, and posts payments in real time—ingesting 835 files and paper EOBs to ensure every paid claim is accurately reflected in your financial systems without the typical 30–60 day lag.
What It Does
Zero posting backlogs. Total revenue transparency.
Data Ingestion & Monitoring
Continuously monitors clearinghouses, payer portals, and lockboxes to retrieve 835 (ERA) files and scan paper EOBs.
Intelligent Reconciliation
Cross-references every payment against the original claim and your specific payer fee schedules to ensure allowable amounts match.
Automated System Posting
Validated payments are posted directly into your EHR or Practice Management System at the line-item level.
Variance & Denial Routing
Instantly flags underpayments or denials and routes them to the appropriate work queue for immediate appeal.
Continuous Audit Trail
Maintains a complete, timestamped log of every action for total compliance and transparent reporting.
Built for Modern Healthcare Teams
The final mile of revenue integrity, fully automated
Health Systems
Manage massive payment volumes with consistent accuracy across all facilities.
ASC & Surgical Groups
Ensure complex, high-dollar surgical claims are reconciled to the penny.
Specialty Practices
Automate the posting of high-frequency, low-dollar payments without adding staff.
MSOs & RCM Teams
Standardize financial integrity and reporting across multiple provider groups.
Measurable Impact
Automated reconciliation transforms your bottom line—not just your to-do list
Accelerated Cash Flow
Close out A/R cycles significantly faster by removing the manual posting bottleneck that delays your books by 30–60 days.
Reduced Revenue Leakage
Identify and recover hidden underpayments that manual teams often overlook during high-volume posting cycles.
Immediate Secondary Billing
Secondary insurance claims are initiated the moment primary payment is posted, shortening the total collection window.
Data-Driven Integrity
Financial performance becomes predictable with a 360-degree view of what was billed versus what was actually collected.
Why Traditional Payment Posting Falls Short
Most legacy solutions or manual processes:
Operate with a 30+ day delay, leaving A/R artificially inflated
Fail to flag line-item underpayments, leaving money on the table
Require significant headcount to manage seasonal volume spikes
Create disconnects between the bank deposit and the patient ledger
The Reconciliation Agent goes deeper—combining real-time system synchronization with contractual intelligence to ensure every dollar owed is a dollar accounted for.
How It Works
From payment receipt to posted record in four automated steps
Ingest Payment Data
Retrieves structured 835 files and unstructured paper EOBs from all payer sources and lockboxes automatically.
Analyze and Match
Applies intelligent validation across claim IDs, CPT codes, and contracted fee schedules to ensure accuracy.
Post and Sync
Updates your EHR/PM system automatically, ensuring bank deposits perfectly align with patient records.
Flag and Route Exceptions
Identifies variances or denials in real time and triggers the next step in the workflow—immediately.