Service
Payment Posting Services (ERA & EOB)
Payment posting services covering ERA and EOB reconciliation, line-item adjustment posting, secondary balance routing, and clean reporting of true net collections.
Overview
What payment posting covers.
Payment posting is recording what each payer and patient actually paid — line by line, with every adjustment explained — so the balance left on each claim is correct. LRx Healthcare posts electronic remittances (ERA/835), paper EOBs, and patient payments for medical practices, clinics, labs, and pharmacies, reconciles them against bank deposits, and routes what remains to the secondary payer, the patient, or follow-up.
Posting is where revenue problems first become visible, so we treat it as a review step, not data entry. Each adjustment is categorized by group code and reason code: contractual adjustments (CO) are separated from patient responsibility (PR), denied lines are routed to denial management as they post, and payments below the contracted rate are flagged for A/R follow-up instead of being written off. A CO-45 adjustment is normally contractual — but if the allowed amount is below your contract, it is an underpayment you can recover.
Accurate posting is also what makes reporting trustworthy: net collections, denial rates, and A/R aging are only as good as the payments behind them. For pharmacies, PBM remittances are reconciled the same way as part of pharmacy billing. Our guide on how to read an A/R aging report covers the leaks that careless posting hides.
What you get
What’s included.
- ERA and EOB posting with line-item accuracy
- Adjustment and write-off categorization
- Secondary balance routing and crossover handling
- Patient payment posting and reconciliation
- Net collection and variance reporting
Outcomes
What better looks like.
- Accurate net collections reporting
- Cleaner adjustment categorization
- Faster secondary submissions
- No missed posting volume
How it works
How each remittance is posted and reconciled.
- 1
Remittance intake
ERAs from the clearinghouse, paper EOBs, and patient payments are gathered in one queue, so no remittance goes unposted because it arrived through a different channel.
- 2
Line-item posting
Payments are posted to each service line, not just the claim total, so partial payments and line-level denials stay visible.
- 3
Adjustment categorization
Every adjustment is categorized by group code (CO, PR, OA, or PI) and CARC/RARC, separating contractual write-offs from patient responsibility and denials.
- 4
Underpayment check
Where your fee schedule or contract is available, allowed amounts are compared to the expected rate, and short payments are flagged for follow-up.
- 5
Denial routing
Zero-pay and partially denied lines go to the denial workflow with the reason code attached, instead of sitting as open balances.
- 6
Secondary & patient balances
Remaining balances cross over or are billed to the secondary payer, and patient responsibility moves to statements.
- 7
Deposit reconciliation
Posted payments are reconciled against bank deposits, and variances — payments without remittances, remittances without deposits — are surfaced for review.
- 8
Credit balances
Overpayments and unapplied payments are identified and reported so they can be resolved and refunded within payer and, for Medicare, federal timelines.
What we need to get started
- Access to your practice management system and clearinghouse remittance reports
- Payer portal access for remittances that do not arrive electronically
- Bank deposit records, for reconciliation
- Fee schedules or payer contracts, for underpayment checks
- Your adjustment and write-off policy, including which write-offs need approval
- A signed Business Associate Agreement before any PHI is exchanged
What you can track
- Payments, adjustments, and write-offs posted, by payer
- Net collections and variances against bank deposits
- Underpayments identified, by payer
- Denials routed from posting, by reason code
- Unapplied payments and credit balances awaiting resolution
Related services
Often paired with this service.
Most providers see the biggest gains when these workflows are operated together.
Payment Posting guides
Free guides on this topic.
Practical, answer-first guides from the LRx Healthcare revenue cycle team.
How to Read an AR Aging Report (and Find Where Revenue Leaks)
How to read a medical AR aging report: what each aging bucket means, how to calculate days in AR and net collection rate, and how to prioritize AR follow-up.
Read the guidePharmacy Claim Rejections and DIR Fees: A Guide for Independent Pharmacies
Common NCPDP pharmacy reject codes and how to resolve them, what changed with Part D DIR fees in 2024, PBM remittance reconciliation, and how to stay audit-ready.
Read the guidePayment Posting FAQ
Common questions about this service.
Quick, direct answers to the questions providers ask most about LRx Healthcare.
Let's get started
Ready to upgrade your payment posting workflow?
Request a free consultation or billing audit and we’ll walk you through where this service fits in your revenue cycle.