Modern Revenue cycle teams can't afford slow or inaccurate payment posting. HealOS delivers true automated payment posting with AI that extracts, validates, matches, and posts every payment without human intervention.
Automate ERAs, EFTs, checks, remittances, and lockbox deposits with complete accuracy.
Manually posting payments creates delays and increases the risk of financial inaccuracies. Below are the key challenges that healthcare organizations face and why payment posting automation has become essential.
Hospitals, multi-location groups, and specialty practices receive thousands of ERAs, EOBs, and payments every week. Manual posting cannot keep up with fluctuating volumes, leading to delayed cash flow, increased A/R days, and significant operational pressure.
Healthcare payment posting requires reconciling ERA files from clearinghouses, EFT deposits from banks, paper EOBs, lockbox files, patient payments, and third-party financing data. Every source follows different formats and payer-specific rules, making manual processing error-prone.
Manual keying of payment amounts, adjustment codes, payer IDs, and claim numbers creates downstream errors, inaccurate patient balances, and incorrect write-offs. Even small data entry mistakes frequently lead to denials or lost revenue.
Payers regularly update their contractual allowances, CARC codes, RARC codes, EOB formats, and reimbursement structures. Without AI payment posting, teams spend hours interpreting these changes, leading to inconsistent posting workflows.
Delayed posting pushes out revenue recognition, slows down financial reporting, and causes month-end close delays. Payment posting automation ensures continuous real-time cash application.
Manual processes reduce transparency. CFOs and RCM leaders lack real-time insight into payments, variances, denials, underpayments, and payer performance.
HealOS uses AI-driven automation to replace manual posting with a streamlined, highly accurate, multi-step process.
HealOS captures data from: ERA / 835 files, EFT remittances, ACH transactions, Paper EOBs, Lockbox files, Digital checks, Patient payments, Secondary and tertiary payers. AI and OCR automatically extract payer details, payment amounts, adjustment codes, denial codes, and claim identifiers, ensuring precise posting.
Before posting, AI cross-verifies: CPT and ICD coding, Contracted payer rates, Allowed amounts, Applied adjustments, Previous payments, Claim status, Payer rules and coverage details. This ensures 100% accuracy and prevents denials caused by incorrect posting.
HealOS uses advanced multi-point matching logic: Patient name, DOS (date of service), Claim number, Guarantor, Provider NPI, Service location, CPT/HCPCS codes. Payments are matched to the correct claim, adjustment, and line item, eliminating mismatched posting.
Payments are posted instantly across: Primary insurance, Secondary insurance, Tertiary insurance, Patient responsibility, Workers' compensation, Medicare & Medicaid, Managed care plans. This ensures the revenue cycle moves without delays.
AI identifies: Underpayments, Overpayments, Missing adjustments, Variance between expected and actual payment, EOB errors, Contract mismatches. These issues are flagged automatically, protecting your revenue.
HealOS reconciles: EFT deposits vs ERA data, ERA vs EOB, Payments vs posted claims, Adjustments vs contract allowances. This closes the payment loop and eliminates manual spreadsheet reconciliation.
HealOS provides: Reconciliation reports, Cash flow dashboards, Payer performance insights, Variance trending, Underpayment analysis, Compliance-ready audit trails. This gives leaders real-time financial precision.
Reads and interprets ERAs, EOBs, EFTs, and checks using AI + OCR with complete accuracy.
Matches payments to patient accounts, line items, and claims even with missing or incomplete data.
Posts insurance and patient payments instantly, improving revenue cycle speed.
Handles contractual allowances, write-offs, co-payments, deductibles, and payer adjustments.
AI compares expected vs actual reimbursement amounts in real time.
Converts paper EOBs into ERA-format 835 files for full automation.
AI extracts check data, matches them to claims, and posts payments with accuracy.
Ensures reimbursement follows payer contracts, boosting revenue integrity.
Works with EHRs like Epic, Athena, Cerner, ModMed, Kareo, NextGen, AdvanceMD, and more.
Provides real-time insights into payment accuracy, cash flow, and payer performance.
| Criteria | Manual Workflow | HealOS Automation |
|---|---|---|
| Processing Time | 20–60 minutes per payment | < 10 seconds |
| Accuracy | 85–90% | 100% |
| Staff Dependency | High | Minimal |
| Underpayment Detection | Rare | Automatic |
| ERA Posting | Manual keying | Fully automated |
| Lockbox Payment Entry | Manual | AI extraction |
| Revenue Leakage | High | 3–5% revenue recovery |
| Scalability | Low | Unlimited |
Automated payment posting improves revenue recognition speed and reduces overall Days in A/R.
AI ensures every payment is posted correctly, preventing revenue leakage and downstream billing errors.
Reduce manual workload by up to 60%, freeing staff to focus on denials, appeals, and collections.
Real-time dashboards and analytics replace outdated Excel sheets and manual reports.
Teams can handle 4–6× more payments without increasing headcount.
From small practices to large hospital systems, automation scales effortlessly with volume.
Every feature is designed to solve real RCM challenges not generic accounting tasks.
Combines NLP, OCR, predictive analytics, and healthcare-specific automation.
HIPAA-compliant data handling, SOC2 controls, encryption, and complete audit trails.
Start automating payment posting within minutes not days or weeks.
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