ERA Processing. EOB Posting. Underpayment Flagging. All Under One HIPAA-Compliant Team.

Payment Posting Services That Protect Every Dollar You Earn

Most payment posting vendors record what payers send and call it done. Underpayments go unnoticed. Denials sit untouched. Patient balances post to the wrong account. MedSole RCM fixes the entire cycle, from remittance receipt through reconciliation, under AAPC-certified supervision and 24-hour posting standards.

All 50 States Covered

HIPAA Compliant

4,000+ Healthcare Clients

24/7 Support

All 50 States Covered

HIPAA Compliant

4,000+ Healthcare Clients

24/7 Support

All 50 States Covered

HIPAA Compliant

4,000+ Healthcare Clients

24/7 Support

From Remittance Receipt to Reconciliation, Every Step Is Covered

Complete Payment Posting Services Under One Accountable Team

Most vendors handle ERAs, EOBs, and patient payments. They stop there. MedSole RCM manages the full posting cycle, including denial routing, underpayment recovery, provider-level NPI allocation, and secondary payer coordination, all under one certified supervisor and one accuracy standard.

ERA Posting

ERA 835 files imported through your clearinghouse, posted within 24 hours against the correct provider NPI, with payer exceptions flagged before each batch closes.

Manual EOB Posting

Paper EOBs accessed through secure FTP or your EHR, posted manually under your business rules covering write-offs, adjustments, and patient responsibility transfers within 48 hours.

Denial Posting and Routing

Denials posted using ANSI standard codes and routed to the denial management team within 48 hours for appeals, rebilling, or patient balance transfer downstream.

Patient Payment Posting

Copays, deductibles, and portal transactions posted to the correct patient account within 24 hours, reconciled against insurance posting, with credit balances flagged for refund processing.

Underpayment Identification

Every payer payment compared against your contracted rates at posting time, not at month-end. Variances surface immediately for certified specialist recovery before filing windows close.

Provider-Level NPI Posting

Multi-provider group payments allocated to the correct NPI at posting, never aggregated at practice level, so productivity reports and compensation data stay accurate downstream.

Secondary Payer Routing

Balance transfers to secondary carriers handled automatically after primary posting, with coordination of benefits respected and patient responsibility moved only after every carrier has processed.

Reconciliation and Reporting

Daily batch reconciliation, deposit matching, monthly accuracy reports, denial trend analysis by payer, and credit balance tracking delivered through your existing EHR dashboards every month.

We Compete on What Happens to Your Revenue After the Payment Lands

Why Medical Practices Trust MedSole RCM for Payment Posting

Other vendors compete on price and turnaround. MedSole RCM competes on accuracy, compliance, and downstream revenue protection. Underpayments caught at posting. Denials routed within 48 hours. Provider-level NPI accuracy maintained across every multi-provider group you operate.

24-Hour Posting Standard

ERA and patient payments posted within 24 hours. EOBs posted within 48 hours. Speed and accuracy built into the same workflow, not traded against each other.

Underpayment Flagging Built In

Every payer payment checked against your negotiated contract rates at the posting stage. Most vendors skip this step entirely. MedSole does not.

HIPAA by Design

PHI encrypted at rest and in transit. SOC 2 Type II audited infrastructure. BAA signed before any data access begins. Compliance is engineered into every workflow.

Provider-Level NPI Accuracy

Payments allocated to the correct provider NPI at posting, never aggregated. Productivity reports, RVU tracking, and partner compensation data stay accurate downstream.

Denial Routing in 48 Hours

Every denied claim posted, coded, and routed to the denial team within 48 hours. Root-cause data feeds back into front-end workflows to reduce future repeat denials.

Fast Transition, No Backlog

Switching from your current vendor takes 21 days. Backlog work clears in parallel with live posting so no batch ages out during the transition period.

A Seven-Stage Posting Workflow With Full Operational Visibility at Every Step

How MedSole RCM Posts, Reconciles, and Protects Your Payments

Every MedSole payment posting engagement runs the same structured workflow, from remittance receipt through final reconciliation and reporting. No black-box processes. No silent backlogs. You get daily operational visibility and monthly accuracy reporting on every account we manage.

Remittance Receipt

ERA 835 files arrive through your clearinghouse and scanned EOBs through secure FTP. Every remittance is logged, batched, and queued for verification within one business hour of receipt.

Denial Posting and Identification

Denied claims posted using ANSI standard denial codes, then routed to the denial team within 48 hours with root-cause classification feeding back into front-end billing workflows.

Cash Posting

Insurance and patient payments posted to the correct account against the correct provider NPI within 24 hours. Line-item posting separates copay, coinsurance, and write-off cleanly per ANSI X12 standards.

Adjustment and Balance Transfer

Contractual write-offs applied per payer agreement. Patient responsibility transferred only after all carriers process. Credit balances flagged for refund. Every adjustment carries full audit documentation.

Underpayment Flagging

Every payer payment compared against your negotiated contract rates at posting. Variances flagged immediately for certified specialist recovery before timely-filing windows close on each claim.

Verification and Validation

Each remittance is validated against the originating claim before posting begins. Patient names, NPIs, CPT codes, and payment amounts are cross-checked. Mismatches flag for specialist review.

Reconciliation and Reporting

Daily batch reconciliation. ACH and lockbox deposits matched against posted payments. Monthly accuracy reports and denial trends delivered through your existing reporting layer, audit-ready per claim.

Real Answers to What Healthcare Practices Ask Before They Switch

Frequently Asked Questions About Payment Posting Services

Questions before you make a change are smart. We answer the most common ones below. If your question is not here, our specialists are one conversation away from giving you a direct, honest answer with no sales pressure involved.

FAQs

What is payment posting in medical billing?

Payment posting is the process of receiving, verifying, and recording payer and patient payments against their originating claims. It includes ERA processing, EOB posting, denial posting, adjustments, and reconciliation under one workflow.

How is payment posting different from charge posting?

Charge posting records the services a provider billed. Payment posting records what insurers and patients paid against those charges, including write-offs, denials, and balance transfers to secondary payers or patients.

Why should I outsource payment posting services?

Outsourcing removes the internal burden of remittance processing, reduces posting errors, catches underpayments faster, and gives your practice access to certified specialists and compliant workflows without adding in-house headcount.

How quickly does MedSole post ERA and EOB payments?

ERA and patient payments are posted within 24 hours of remittance receipt. Scanned EOBs are posted within 48 hours. Both timelines hold across every account, regardless of volume or payer mix.

Are your payment posting services HIPAA-compliant?

Yes. PHI inside every remittance is encrypted at rest and in transit. A BAA is signed before any data access begins. Our infrastructure is SOC 2 Type II audited and reviewed annually by a third-party security firm.

Can MedSole integrate with my existing EHR system?

MedSole RCM supports integration with over 50 EHR and practice management systems. Our team reviews your current setup before onboarding to confirm a clean connection before any live posting begins.

Start With a Free Payment Posting and Reconciliation Audit

Stop Letting Underpayments and Posting Errors Cost You Revenue

Your posted payments should reflect every dollar you have earned at the correct contract rate, allocated to the correct provider, with denials routed and underpayments flagged before filing windows close. If that is not what you are getting today, the audit will show you exactly where the gap is.