Medical Payment Posting Services
Payment posting takes what a payer actually paid and reconciles it against what was billed — applying the correct adjustment, identifying any underpayment, and setting the accurate patient balance that follows.
Trusted by 160,000 Providers
Why Payment Posting Matters
Payment posting is easy to treat as clerical, and that is exactly why it is where underpayments hide. A payment that is wrong by a small percentage, applied without checking against the contract, produces a loss that is invisible in any report built from the posted numbers themselves.
Remittance posting
Payments and adjustments posted against the correct originating claim.
Contract rate reconciliation
Postings checked against contracted rates to surface underpayments.
Denial identification at posting
Denials on the remittance flagged and routed for follow-up at the point of posting, not later.
Patient balance accuracy
Responsibility calculated from the adjudicated claim rather than an earlier estimate.
Unmatched payment research
Unclear or unidentified payments investigated and resolved rather than left in suspense.
Variance reporting
Differences between expected and actual payment tracked and reported by payer.
Complete Payment Posting Services
Each remittance is posted against its original claim, with contractual adjustments applied and any patient responsibility calculated from what the payer actually allowed rather than from an earlier estimate.
Postings are reconciled against the contracted rate for that payer and service, not simply accepted at face value, so a payment that is technically processed but below contract is identified rather than absorbed as a routine adjustment.
Unmatched or unidentified payments — remittances that do not clearly correspond to an expected claim — are investigated rather than left in suspense, since unposted money is functionally the same as unpaid money until it is resolved.
Our Payment Posting Process
Every stage is defined, so you always know which claims are moving and what is being done about the ones that are not.
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01
Remittance matching
Each remittance is matched to its originating claim, so payments are posted against the correct account rather than reconciled loosely.
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02
Contract rate reconciliation
Posted amounts are checked against the contracted rate for that payer and service, not accepted simply because a payment was received.
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03
Adjustment accuracy review
Contractual adjustments, write-offs and denials on the remittance are applied correctly and consistently.
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04
Patient balance calculation
Patient responsibility is calculated from the adjudicated claim, not from a prior estimate, so statements reflect what is actually owed.
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05
Unmatched payment resolution
Payments that do not clearly correspond to an expected claim are investigated and resolved rather than left unposted.
Trusted by Practices Nationwide
Healthcare providers across the country trust RevaxisMD with their revenue cycle operations.
★★★★★
As a solo practitioner I was drowning in administrative work and losing money on uncollected claims. Handing over the billing operation transformed our finances — revenue is up meaningfully in the first year and I can focus on patients instead of insurance paperwork.
★★★★★
Switching was the best decision we made for our practice. Within the first month we saw significant improvement in cash flow. The team is responsive, knowledgeable, and genuinely invested in our success — our collection rate improved sharply in just six months.
★★★★★
The transition was seamless and the ongoing support has been outstanding. They reduced our days in A/R dramatically and improved our cash flow. Their credentialing team also helped us get contracted with three major payers we had been trying to join for over a year.
Make sure every payment is posted correctly.
We will review how remittances are posted and reconciled in your practice today.
Payment Posting — Common Questions
Do you check payments against our actual contracted rates?
Yes. Postings are reconciled against contracted rates, not simply accepted as processed, which is where underpayments most often hide unnoticed.
How quickly are payments posted?
On a daily basis, so accounts receivable and denial reporting reflect current activity rather than a delayed picture.
What happens to payments that do not match an expected claim?
They are investigated and resolved rather than left unposted, since an unmatched payment is effectively unavailable revenue until it is applied.
How is patient responsibility calculated?
From the adjudicated claim itself, replacing any prior estimate, so patient statements reflect what the payer actually determined.
Can you identify systematic underpayment by a specific payer?
Yes. Variance from contracted rates is tracked by payer, which is how a systematic underpayment pattern becomes visible rather than looking like isolated incidents.
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Request a call back
Tell us about your practice and a member of the team will call you to talk through your payment posting workflow.