Every payment, adjustment, and denial needs to land in the right place. Our payment posting services post ERAs, EOBs, and patient payments accurately, flag denials early, and reconcile every deposit so your books always match reality.








Payment posting is the process of recording payments, adjustments, and denials from insurance payers and patients against the correct claims and patient accounts. Done well, it keeps your receivables accurate, shows you which claims still need work, and gives you reliable data on how every payer pays.
Posting insurance payments from ERAs and EOBs
Recording patient payments and updating balances
Posting contractual adjustments and write-offs
Flagging denials and underpayments for follow-up
Reconciling deposits against payer remittances
Accurate posting is the foundation of clean AR. Talk to a Payment Posting Specialist and see where your accounts are out of sync.
A dedicated posting team that handles every payer response, from electronic remittances to paper EOBs and patient payments.
Electronic remittances are reviewed and posted directly, with paid and unpaid ERAs sorted quickly for easier accounting.
Paper EOBs are keyed into the right patient accounts and reconciled, following your client-specific rules.
Checks, cash, and card payments are applied to co-pays, deductibles, and balances accurately and promptly.
Denials are posted with the right reason codes and routed to AR follow-up, patient billing, or secondary insurance.
Write-offs and adjustments are checked against fee schedules and policies to catch payment errors.
Checks, card payments, and EFTs are matched to payer statements, with reports on payments, denials, and payer trends.
Accurate posting keeps your receivables clean and your reports trustworthy.
Identifying denials for medical necessity, non-covered services, and services not authorized, and preventing them from happening again.
Updating patient responsibility whenever there is a difference between the allowed amount and the payment amount.
Writing off the difference between the claim amount submitted and the amount received, in line with contracted rates.
Conducting routine payment reviews to keep your receivables up to date.
Tracking payment patterns to spot inconsistencies and payer trends early.
We carefully check every detail on the EOB (Explanation of Benefits): billed amounts, adjusted amounts, allowed amounts, co-pays, and more.
We enter every patient payment, whether check, cash, or card, against co-pays or deductibles for services the payer did not cover.
We receive electronic remittance advice, review it, and post payments directly, sorting paid and unpaid ERAs for easier accounting.
We post claim denials and either transfer the balance to the patient account or re-bill the secondary insurance.
We key claim details into the right patient accounts and reconcile them, following your client-specific rules.


Patient Balances – We reconcile accounts correctly and bill the balance to the patient promptly.
Reviewing Denials – Accurate posting of remittances and EOBs helps AR staff work denied claims and reveals payer problems that may affect multiple patients.
Reviewing Write-offs & Adjustments – We check write-offs and adjustments against fee schedules and policies to catch payment errors.
Secondary Claims – Quick turnaround of EOBs from the primary payer to the secondary or tertiary payer means faster, fuller payment.
Identifying Internal Factors – Denial and payment data shows issues such as prior authorization or coding errors, so they can be prevented.
Data Analysis – We compile payments and denial reasons to support accurate revenue forecasting.
Reconcile Payments with ERAs/EOBs – We match incoming checks, card payments, and EFTs to payer statements to safeguard funds and control misrouted payments or lost checks.
Our tailored payment posting services cover specialty-specific payer rules, remittance formats, and denial patterns across 40+ practice types.
See how accurate payment posting has helped practices clean up their accounts and understand their revenue.
"Our books finally match our bank deposits. Synergy's posting team reconciles everything and flags problems quickly."
"Denials are posted with clear reasons now, so our AR team knows exactly what to work. The reporting is easy to follow."
"They caught underpayments we would never have noticed. Posting is accurate and our patient balances are always up to date."
"Outsourcing payment posting freed up our front desk and gave us better data than our in-house process ever did."
Talk to our team about how our payment posting services can keep your accounts clean, surface denials early, and give you a clear view of your revenue.
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End-to-end revenue cycle management for U.S. healthcare providers: accurate coding, clean claims, fewer denials and faster payments across 30+ specialties.
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