Posting leak
Most costlyUnderpayments hidden in adjustments
Why it happens
Paid amount booked without a contract check
How we close it
Expected-reimbursement comparison flags every variance
Service · The hinge between money and ledger
Payment Posting Services
Nothing downstream can recover a dollar your own ledger says was never owed.
Turn every remittance into a reconciled, audit-ready ledger. 247 Medical Billing Services delivers payment posting services that auto-post electronic remittances, hand-key paper EOBs and patient payments with line-level accuracy, apply contractual adjustments correctly, flag underpayments and denials the moment they land, and reconcile every batch to your bank deposit. Backed by a dedicated account manager, a free 360-degree reporting dashboard, HIPAA and SOC 2 Type II controls, and 20-plus years of specialty billing since 2005.
HIPAACompliant
SOC 2Type II
Batch tie-outTo the deposit
Since 2005Specialty billing
One batch
Reconciliation · Live
The gatean out-of-balance batch cannot close
What we posted
- Payments
- Adjustments
- Transfers
What hit the account
- Bank deposit
- Offsets
- Takebacks
These must equal
Or the batch does not close
Skip it and the claim reads "closed", the balance reads "zero"
Discrepancies are worked, not rounded away
Posted same cycleUnderpayments flagged, not buried
What our payment posting covers
ERA auto-posting
Manual EOB & patient payments
Contractual-adjustment accuracy
Underpayment & denial flagging
Deposit reconciliation
01Data entry until you measure what it costs
Where cash quietly slips between the payer and your ledger
Payment posting looks like data entry until you measure what a sloppy post actually costs. When a remittance is dropped into the practice-management system without a second set of eyes, three things go wrong at once: money that never arrived is marked as collected, contractual write-offs are booked at the wrong amount, and underpayments disappear into an adjustment code where no one will ever question them. The claim reads "closed," the balance reads "zero," and the shortfall becomes a permanent, invisible loss.
Posting is the hinge between the money coming in and every decision that follows it
Post the remittance wrong and you corrupt all three of these at the source — none of them can see past what the ledger says.
Downstream 01
A/R follow-up
An A/R analyst can only chase what the ledger shows as open. A balance posted to zero is a claim nobody will ever work again.
Downstream 02
Denial work
A denial team can only appeal what posting routed to a denial worklist. A zero-pay line closed as a write-off never reaches them.
Downstream 03
Patient statements
A statement is only correct if the responsibility balance transferred cleanly after the plan paid. Wrong bucket, wrong bill.
Nothing downstream can recover a dollar that your own ledger says was never owed.
Our payment posting services exist to make that hinge precise — so what your system reports as paid, adjusted, denied, and owed matches the payer's actual adjudication and your actual bank deposit, line for line, every single day.
02Several decisions on every service line
What our payment posting captures line by line
Posting is not one action; it is several distinct decisions made on every service line — how much the payer paid, what the contract allows you to write off, what shifts to the patient, and what needs to be flagged for someone to work. We handle each explicitly and measure the batch against the deposit before it closes.
Four questions
Every service line on a remittance has to answer all four before the batch can close.
How much paid?
The payer's actual adjudication — auto-posted where the ERA line matches, hand-keyed where it doesn't, never estimated.
What can we write off?
The exact contractual amount from the allowed-amount data, never a plug figure that forces a zero balance.
What shifts to the patient?
The correct responsibility bucket — deductible, coinsurance or copay — so statements bill the right amount first time.
What must be worked?
Zero-pays and shortfalls routed to the denial worklist or flagged for recovery, rather than closed and forgotten.
The transaction and reason codes below appear only to show how we structure the work; your team never touches them.
| Posting element | What arrives on the remittance | How we post it accurately |
|---|---|---|
| Electronic remittance | 835 ERA files from the clearinghouse | Auto-post matched lines; route mismatches to an exception queue |
| Manual remittance | Paper EOBs, lockbox, patient checks & cards | Line-level hand-keying with a balance check against the check total |
| Contractual adjustment | CAS group CO with allowed-amount data | Post the exact contractual write-off; never a plug figure |
| Patient responsibility | PR-1 deductible, PR-2 coinsurance, PR-3 copay | Transfer the correct balance so statements bill the right amount |
| Denial / no-pay | Zero-pay lines with CARC/RARC reasons | Post and route straight to the denial worklist, not to write-off |
| Underpayment | Paid below the contracted rate | Compare to expected reimbursement; flag the variance for recovery |
| Takeback / recoupment | Negative adjustments, offsets, forwarding balances | Reverse and re-post so the ledger and deposit stay reconciled |
Revenue review
Does your ledger match your bank statement?
We'll show you exactly where your posting and reconciliation are leaking revenue — and how quickly we can close the gap.
- Adjustments re-tested against your contracted rates
- Zero-pay lines checked for wrongly closed denials
- Unposted-cash aging sized across your remittance sources
HIPAA & SOC 2 Type II
Back within one business day
No rip-and-replace
Request a Revenue Review
Tell us about your practice.
A posting and reconciliation lead will reach out within one business day.
Thanks — we've got it.
A posting and reconciliation lead will reach out within one business day.
03Not "whoever has time"
Outsource payment posting to a reconciliation-first team
Read like an auditor
Most practices treat posting as the task any spare hand can absorb, which is exactly why it leaks. Doing it well requires people who read a remittance the way an auditor does — who know that a contractual adjustment and a write-off are not the same thing, that a zero-pay line is a denial and not a closed claim, and that a batch is not finished until it ties to the deposit. When you outsource this function to a specialist billing company, you replace "whoever has time" with a team whose entire job is posting integrity.
The bottleneck nobody plans for
Outsourcing payment posting also removes a single point of failure most practices never plan around. When one in-house biller owns posting and takes leave, the remittances pile up, ERA files age, and secondary claims cannot drop because the primary payment was never posted — a bottleneck that quietly ages your A/R for reasons that have nothing to do with the payers. A professional posting team gives you continuous, same-cycle turnaround with cross-trained staff, so cash keeps moving no matter who is out.
The strategic payoff
Clean posting is what makes the rest of the revenue cycle measurable. Days in A/R only mean something when the ledger reflects real open balances; net collection rate is only trustworthy when contractual adjustments are exact; denial recovery only works when zero-pays were flagged instead of written off. By putting a professional team on posting, you give every other function accurate inputs — which is why practices that fix posting first often see their whole cycle tighten toward the roughly 99% net collection and under-25-day A/R that disciplined revenue cycle management makes possible.
04Post fast and prove it
Inside our posting and reconciliation workflow
Our workflow is built to do two things every cycle: post fast and prove it. Each remittance moves through a defined path with a reconciliation gate that will not let an out-of-balance batch close.
- 01Match
Receive & match
We pull ERA files from your clearinghouse and match each line to its claim. Clean matches auto-post; anything that does not match — a claim not on file, a patient mismatch, an unexpected payer — drops into an exception queue instead of forcing a bad post.
- 02Key
Post manual remittances
Paper EOBs, lockbox images, and patient card and check payments are hand-keyed at the service-line level, each batch balanced against the physical check or deposit total before it is accepted.
- 03Adjust
Apply adjustments precisely
Contractual write-offs are posted from the allowed-amount data on the remittance, and patient responsibility is transferred to the correct bucket so downstream statements are right the first time.
- 04Flag
Flag, don't bury
Zero-pay and denied lines route straight to denial work, and underpayments are compared against expected contract rates and flagged for recovery. This is where posting feeds our EOB interpretation work and our A/R follow-up team.
- 05Tie out
Reconcile to the deposit
Every batch is tied out to the bank deposit — posted totals, adjustments, and transfers must equal what actually hit the account. Discrepancies are worked, not rounded away.
- 06Report
Report
Your free dashboard shows posting turnaround, unposted-cash aging, flagged underpayments, and reconciliation status — and accuracy depends on clean upstream electronic claims submission, so it holds end to end.
05Only as good as the errors it refuses
The posting leaks we close
A posting operation is only as good as the errors it refuses to let through. These are the recurring failure points we target and the mechanism we use to stop each one.
Posting leak
Denials posted as write-offs
Why it happens
Zero-pay lines closed instead of routed
How we close it
Rules send no-pay lines to the denial worklist automatically
Posting leak
Ledger does not match the bank
Why it happens
No deposit reconciliation step
How we close it
Batch-level tie-out to the deposit before any batch closes
Posting leak
Wrong patient balances
Why it happens
Responsibility transferred to the wrong bucket
How we close it
Line-level PR posting so statements bill the correct amount
Posting leak
Secondary claims stalled
Why it happens
Primary payment never posted on time
How we close it
Same-cycle posting releases secondary and patient billing
Posting leak
Takebacks throwing off cash
Why it happens
Recoupments ignored or double-counted
How we close it
Reverse-and-re-post handling keeps offsets fully reconciled
Posting leak
Unposted ERA files aging
Why it happens
One biller, no coverage
How we close it
Cross-trained team posts every file the day it arrives
06Revenue protection, not clerical cleanup
Why providers rely on 247MBS for posting accuracy
Get posting right and every other metric you track finally means what it says.
Providers trust us with posting because accurate posting is what makes their other numbers real. Our payment posting services support a 99% clean-claim rate, roughly 99% net collection, first submissions inside 24 hours, and accounts receivable held under 25 days — outcomes that only hold when the ledger they are measured against is correct. Behind the accuracy is a compliance foundation you can defend to any auditor. We are HIPAA-compliant and SOC 2 Type II-certified, an HBMA member, and staffed by AAPC and AHIMA-certified professionals who understand remittances at the adjudication level. A 98% client-retention rate over 20-plus years since 2005 reflects what happens when posting is treated as revenue protection rather than clerical cleanup.
- A/RDays in A/R mean somethingOnly when the ledger reflects real open balances.
- NETNet collection is trustworthyOnly when contractual adjustments are exact.
- APPEALDenial recovery worksOnly when zero-pays were flagged, not written off.
- BANKThe ledger equals the depositBecause the batch could not close otherwise.
Outcomes that only hold when the ledger is correct
What posting integrity supports across the practices we serve:
0%
Clean-claim rate
~0%
Net collection
<0
Days in accounts receivable
0 hrs
First submissions inside
0
Decisions posted on every service line
0%
Client retention
07Anyone can type a payment into a system
Specialist posting vs. a generalist keying payments
The difference between typing a payment in and a posting specialist shows up directly in your recovered cash and your reconciliation:
Capability
Generalist keying payments
247MBS payment posting
ERA handlingA mismatch should never force a bad post.
Bulk auto-post, no exception review
Auto-post plus a worked exception queue
Contractual adjustmentsA plug figure hides the shortfall forever.
Plug figures to force a zero balance
Exact write-offs from allowed-amount data
UnderpaymentsA contract says you're owed it.
Absorbed into adjustments
Compared to contract rates and flagged
Denials at postingA zero-pay line is a denial, not a closed claim.
Closed as no-pay
Routed to the denial worklist
ReconciliationA batch isn't finished until it ties to the deposit.
None or monthly guesswork
Batch-level tie-out to the bank deposit
CoverageAged A/R for reasons that have nothing to do with payers.
One person, one point of failure
Cross-trained team, same-cycle turnaround
08Payer mix matters more than vendors admit
Who we post for
We run payment posting for solo practitioners, group practices, multi-specialty clinics, ambulatory surgery centers, and hospital-affiliated groups across the full range of specialties — from behavioral health and anesthesia to urgent care, primary care, and pain management. Whether you receive a handful of ERAs a week or thousands of lines a day across a wide payer mix, the operation scales to your volume without sacrificing the reconciliation step.
Practices heavy in commercial contracts
These live or die by contractual-adjustment accuracy and underpayment detection — the two places a plug figure costs the most.
What decides the moneyAdjustment accuracy
Medicaid-heavy panels
Where the work is secondary coordination and frequent recoupments, and reverse-and-re-post handling keeps the ledger honest.
What decides the moneySecondaries and takebacks
ASCs & hospital-affiliated groups
High line-volume remittances where an exception queue is the difference between a clean batch and a corrupted ledger.
What decides the moneyException handling at volume
Practices expanding an engagement
Practices already outsourcing other functions fold posting in; practices that come to us for posting first often expand once they see how much cleaner every downstream number becomes.
What decides the moneyAccurate inputs everywhere else
Because our teams are specialty- and payer-aligned, your remittances are posted by people who already recognize the adjustment patterns and takeback behavior of the plans you bill — not generalists learning your contracts on your dollar.
09Deliberately low-lift
Getting started
Onboarding is deliberately low-lift — there is no rip-and-replace.
We map your sources
After the revenue review we map your remittance sources — clearinghouse ERA enrollment, lockbox feeds, and patient-payment channels — and connect to your practice-management system in post-and-reconcile mode.
We confirm your codes
We confirm your adjustment and transaction-code mapping, set your reconciliation and reporting cadence, and begin posting within the first cycles.
You watch it tighten
Your dedicated account manager reviews posting turnaround, unposted-cash aging, and flagged underpayments with you on a set schedule.
You can see the ledger tightening from the first weeks — not take it on trust at the end of a quarter.
Payment posting services are the recording of every insurance and patient payment against the correct claim and service line — posting electronic ERA files and manual EOBs, applying contractual adjustments, transferring patient responsibility, flagging denials and underpayments, and reconciling each batch to your bank deposit so your ledger matches reality.
This page is about posting mechanics and reconciliation — getting the money onto the ledger accurately and tying it to the deposit. Our EOB and explanation of benefits service focuses on interpreting the remittance itself: reading the adjudication, catching wrong contractual adjustments, and deciding what needs to be worked. Most clients use both together.
Yes. We auto-post electronic ERA files with an exception queue for anything that does not match, and we hand-key paper EOBs, lockbox items, and patient card and check payments at the service-line level, balancing each batch before it closes.
Yes. We compare paid amounts against expected contract rates at the moment of posting and flag any shortfall for recovery, rather than letting it disappear into an adjustment code. Flagged underpayments then feed A/R follow-up.
No. We post inside your existing practice-management and clearinghouse systems. There is no rip-and-replace — we connect, map your codes, and start posting and reconciling.
Fully. We are HIPAA-compliant and SOC 2 Type II-certified, with strict access controls and audit logging across every posting workflow.
ERA auto-posting·exact adjustments·underpayment flagging·deposit tie-out
Make your ledger match your bank statement.
Stop losing cash to bad posts. See exactly where your posting and reconciliation are leaking revenue — and how quickly we can close the gap, so that what your system reports as paid, adjusted, denied and owed matches the payer's actual adjudication line for line.
Related services: EOB / Explanation of Benefits · A/R Follow-Up · Revenue Cycle Management