Financial Operations

Payment Posting & Reconciliation

ERA/EOB posting, adjustment review and payment reconciliation for clearer account status.

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Payment Posting & Reconciliation—in one clear answer

For US practices, payment posting and reconciliation convert ERA, EOB and patient-payment information into accurate account updates. Neeraj RCM Global Solutions supports posting, adjustment review, denial identification, patient-responsibility transfer and unresolved-balance visibility.

Payment posting and reconciliation dashboard
Inside the workflow

Turn remittance activity into accurate account visibility.

Posting, reconciliation, underpayment identification and reporting connect payment to the correct account.

What is included

A defined operational scope.

The agreed scope defines ERA and EOB sources, posting rules, adjustment handling, deposit-reconciliation boundaries, exception queues, patient-responsibility routing and unresolved-balance reporting.

ERA/EOB review

Review electronic and paper remittance information.

Payment posting

Apply available payments to the correct claims and accounts.

Adjustment posting

Record supported contractual and other adjustments.

Denial and variance routing

Move unpaid or unexpected items into the proper workflow.

Deposit reconciliation

Compare available remittance and deposit information.

Exception reporting

Report unmatched, unclear or underpaid items for review.

How the workflow moves

From intake to accountable follow-through.

Receive

Collect approved remittance and payment information.

Match

Match payments and adjustments to claims and accounts.

Post

Apply transactions using the practice’s approved rules.

Reconcile

Compare available deposit, remittance and posting information.

Route

Send denials, variances and unresolved items for action.

Operational standard

Technology supports the work. People own the outcome.

Automation may match remittance data and surface posting exceptions, but adjustments, reversals, refunds and unresolved variances must follow documented practice policy and human review.

Important: This service does not guarantee payer approval, claim payment, network participation or a specific financial result.
Authoritative US references

Official workflow resources.

CMS payment and remittance advice guidanceCMS health care payment and remittance advice

Use: Federal sources define national standards and program guidance. Payer, plan, state and contract requirements may differ.
Frequently asked

Clear answers before engagement.

What is the difference between an ERA and an EOB?

An ERA is an electronic remittance file, while an EOB is an explanation of benefits that communicates claim payment and adjustment information. Practices may receive one or both depending on the payer and workflow.

Can payment posting identify underpayments?

It can identify variances and unexpected payment outcomes when the necessary contract or expected-payment information is available.

How do posting errors affect A/R?

Incorrect posting can leave false balances, hide denials, misstate patient responsibility and create unnecessary follow-up. Reconciliation helps reduce these errors.

Discuss your current workflow, systems and priority accounts.

Share the administrative problem—not patient information—and we will identify the right starting point.