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Achiwin RCM

Remittance Reconciliation

Payment Posting Services

Keep payments, adjustments, denials and remaining balances aligned to the available remittance evidence.

Payment posting analysts reconciling healthcare remittance activity

A workflow your team can use

Accurate posting explains what was paid, adjusted and left unresolved. Achiwin can match available remittance activity to the correct patient, claim and service line, then apply approved transaction and adjustment handling.

Zero-pay lines, denials, reversals, recoupments, underpayments and unidentified activity are not hidden inside a completed batch. Exceptions are documented with the source amount and routed to denial, A/R, refund or practice review.

  • ERA, EOB and patient-payment matching
  • Payment and approved adjustment posting
  • Zero-pay, denial, reversal and recoupment identification
  • Remittance-to-deposit and posting reconciliation
  • Unmatched and underpayment exception routing

How the work moves

Receive the evidence

Identify the remittance, deposit and account references available.

Match and post

Apply payments and approved adjustments to the correct service lines.

Reconcile totals

Compare remittance, deposit and posted transaction activity.

Route exceptions

Send denials, recoupments, variances and remaining balances to the next owner.

Controls that keep the workflow dependable

Accurate A/R

Correct payer and adjustment activity gives follow-up teams a dependable balance.

Reliable denial work

Remark and adjustment information supports the correct response.

Clear patient statements

Patient billing begins after payer activity and approved adjustments are reflected.

Frequently asked questions

Which payment sources can be included?

Scope may include ERA, paper EOB and approved patient-payment sources when the necessary account and deposit information is available.

How are unmatched payments handled?

They remain in an exception queue with the source amount and available references rather than being posted to an uncertain account.

Does posting include reconciliation?

The workflow can compare remittance, deposit and posted totals according to the evidence and reconciliation rules available in the organization’s system.

Performance visibility

Measures to review together

Definitions are agreed during implementation so reporting reflects the service scope and available source data.

Posting timelinessTime from remittance availability to completed posting.
Unmatched activityPayments or lines requiring additional account research.
Reconciliation varianceDifferences between remittance, deposit and posted totals.
Exception routingDenials, underpayments, recoupments and balances sent onward.

Engagement readiness

What we align before production begins

A dependable service starts with a stable inventory definition, approved access and an escalation path that fits the organization.

Scope and starting inventory

Payers, locations, providers, service dates, balance criteria, work stages and exclusions are documented so results can be compared with a clear baseline.

Systems and source evidence

Approved practice-management access, reports, portals, documentation locations and communication channels establish where work starts and where evidence is retained.

Ownership and escalation

Routine questions, urgent deadlines, practice approvals and payer dependencies are separated with named owners and realistic response expectations.

Implementation rhythm

A controlled move into steady-state support

Validation happens before volume moves into production.

01

Baseline

Confirm inventory, definitions, priorities and current ownership.

02

Configure

Document instructions, quality checks, access and handoffs.

03

Validate

Review sample work, reports and exceptions with the practice.

04

Operate

Track production, unresolved dependencies and improvement actions.

Ready for a clearer revenue cycle?

Request an RCM Review →