Every Payment Posted Accurately, Every Account Reconciled

Payment posting is where your financial picture becomes true or false. We post ERAs, EOBs, and patient payments line by line, apply adjustments correctly, and reconcile against deposits so your reports reflect reality.

Request a Free Consultation

A Core Axis specialist will reach out within one business day.

Is This Costing Your Practice Revenue Right Now?

Most practices carry these problems for years without measuring what they cost. Here’s where the money usually goes.

Lagging

Posting backlogs

Late posting delays secondary claims and distorts every report downstream.

Buried

Hidden underpayments

Short pays vanish into adjustment codes nobody questions.

Off

Unbalanced books

Posted totals that don't match deposits erode trust in your numbers.

Risk

Credit balances

Unresolved credits create refund obligations and compliance exposure.

Everything This Service Covers

Delivered by a dedicated team, inside your systems, with fully HIPAA-compliant data handling.

ERA Auto-Posting with Review

Electronic remittances posted daily, with human review on exceptions and anomalies.

1

Manual EOB Posting

Paper remittances keyed accurately with correct allowed amounts and adjustment codes.

2

Patient Payment Posting

Copays, portal payments, and mailed checks applied to the right accounts and dates of service.

3

Adjustment Integrity

Contractual adjustments applied per your fee schedules — never used to hide underpayments.

4

Denial Flagging at Posting

Zero-pay and short-pay lines routed straight to denial and A/R workflows.

5

Deposit Reconciliation

Posted totals balanced against bank deposits so nothing posts that didn’t arrive.

6

Built to Protect Your Revenue

Sloppy posting doesn’t just miscount money — it hides underpayments inside ‘contractual adjustments’ and delays secondary billing. Precise posting keeps every downstream number honest.

Posting is where your financial reports become true or false. Every downstream number — collections, adjustments, A/R, provider productivity — is built from what was posted. Post loosely, and the practice steers by instruments that lie.

The most expensive posting failure is invisible: underpayments dressed as adjustments. When a payer pays below contract and the shortfall is casually written off as “contractual,” the loss never appears anywhere. It isn’t denied, isn’t aged, isn’t reported — it simply vanishes, month after month, inside a code nobody questions.

Precise posting also triggers everything that comes next. Secondary claims can’t file until primary payments post. Patient statements can’t go out with unposted balances. Denials can’t be worked until zero-pays are flagged. Daily line-level posting, contract-checked adjustments, and reconciliation against actual bank deposits keep every one of those downstream processes running on time — and keep every report a document you can trust.

How We Deliver Payment Posting Services, From Day One

Switching sounds disruptive. Our onboarding is designed so it isn’t — with zero revenue interruption during transition.

1 Receive

ERAs, scanned EOBs, and payment files flow into a daily posting queue.

2 Post

Payments and adjustments are applied line by line to each claim.

3 Flag

Underpayments, denials, and recoup requests are routed to the right team same-day.

4 Balance

Daily and monthly reconciliation ties posting to actual deposits.

In-House vs Core Axis The Real Numbers

The question isn’t whether outsourcing costs money — it’s whether your current setup is costing you more.

Metric

Typical In-House Setup

Core Axis Healthcare

Annual cost

$50K–$70K per biller plus benefits, training, and software

One transparent rate — team, tools, and expertise included

Clean claim rate

85–92% industry average

98%+ first-pass acceptance

Denial rate

5–10%, with costly rework

Driven down 15%+ through prevention

Days in A/R

Often 40–55 days

Actively worked toward under 30

Coverage

One person’s knowledge — gone when they leave

A full team with backup, always staffed

Scalability

Hire-and-train cycles lag your volume

Scales instantly with patient volume

Technology

Billing software billed separately

Included in the service

Compliance

Liability sits fully on your practice

HIPAA-compliant processes with a dedicated teama

Reporting

Core Axis Healthcare

Scheduled monthly reports with walkthroughs

Specialty-Specific Expertise for Every Practice Type

Every specialty has its own code sets, modifier rules, and denial triggers. Our specialists are trained in yours — across 50+ specialties.

Cardiology

Echo, stress tests, and modifier billing require payer-specific expertise.

Orthopedics

Surgical packages and fracture care demand precise coding accuracy.

Dermatology

Lesion procedures and biopsies require compliant coding and modifiers.

Neurology

EMG, EEG, and nerve studies require specialty coding expertise.

Gastroenterology

Endoscopy procedures require accurate coding and bundling compliance.

Radiology

Professional and technical billing requires accurate modifier application.

OB/GYN

Maternity care and procedures require precise global billing expertise.

Pediatrics

Vaccines and preventive visits require age-specific coding accuracy.

Physical Therapy

Timed therapy services require accurate documentation and coding.

Pain Management

Injection procedures require authorization and precise coding compliance.

Internal Medicine

Chronic care and E/M coding require complete documentation.

Behavioral Health

Therapy sessions require compliant coding and documentation accuracy.

EHR & Practice Management Platforms We Work With

Simple Pricing. Everything Included.

Custom

A simple percentage-of-collections rate quoted for your practice — everything included, nothing hidden.

Your Patient Data, Protected at Every Step

HIPAA Compliant

Every workflow operates under HIPAA Privacy and Security Rule safeguards for PHI.

Encrypted Data

Patient information travels and rests only through encrypted, access-controlled channels.

BAA Provided

A signed Business Associate Agreement is in place before we touch a single record.

Audited Processes

Regular internal audits and staff screening keep our security posture current.

Payment Posting Services: Your Questions Answered

How fast are payments posted?

Daily posting cycles — ERAs, scanned EOBs, and patient payments are applied the day they arrive.

How accurate is your posting?

We maintain 99% posting accuracy with line-level application and daily reconciliation against actual deposits.

Do you handle both electronic and paper remittances?

Yes. ERAs post through automated workflows with human exception review, and paper EOBs are keyed manually with the same accuracy standard.

What happens with underpayments?

Zero-pay and short-pay lines are flagged at posting and routed to denial management and A/R teams the same day — never buried in adjustments.

Your Patients Need Your Attention. Your Billing Needs Ours.

Stop losing revenue to problems nobody has time to chase. Request your free billing audit and see exactly where your revenue cycle stands.

Financial reports you can trust
Underpayments surfaced, not buried
Secondary claims triggered on time
Credit balances identified and resolved
Clean month-end close, every month
Denials entering workflow within a day