Post 95% of payments overnight — automatically.
Automated payment posting software for ERA, EOB, and 835 processing.
Auto-post ERA and EOB remittances overnight, recover 2.5-4% of net revenue from silent underpayments, and reconcile every deposit to the penny with our Triangle-of-Truth reconciliation. Built for million-line Medicare files and zero-downtime cash close.
TL;DR
- Posts 95% of ERAs overnight, with no human touch.
- Reconciles every deposit to the penny via Triangle-of-Truth.
- Recovers 2.5-4% of net revenue by catching silent underpayments.
KPIs we move
Outcomes are measured from posting timestamps, AR aging movement, and reconciliation variance rather than activity counts.
Days-to-Post
Measured from ERA receipt to ledger-post timestamp on the Daily Summary.
Days in AR
Tracked by comparing aged AR before and after nightly auto-posting is live.
Reconciliation variance
Calculated as daily cash variance across bank, ERA, and posted totals.
Underpayment recovery
Contract variance checks flag silent underpayments as a share of net revenue.
Beyond posting: the 10-step Post-Payment Pipeline
Posting is only the first event after an ERA or EOB is matched. QuickIntell fans the result out to downstream revenue-cycle work so cash, exceptions, and next actions stay synchronized.
Patient responsibility moves into AR Management work queues, full and partial denials open denial cases, COB opportunities trigger secondary claim auto-generation, and overpayments start refund review.
Contract variances route to underpayment pursuit, adjudication detail writes back through configured clearinghouse and EHR integrations, and aged work advances without a poster rekeying the same remittance.
Source: QuickRCM User Manual section 08. Review pricing for rollout options.
Complete Payment Posting Features
Everything you need to automate payment posting and reconciliation
ERA Processing
- Automated 835 file ingestion
- Multi-payer ERA support
- Real-time posting workflow
- Exception flagging & routing
EOB Conversion
- Paper EOB digitization
- OCR extraction & validation
- EOB-to-835 conversion
- Batch processing support
Payment Matching
- Intelligent claim matching
- Partial payment handling
- Takeback processing
- Contractual adjustment posting
Reconciliation
- Bank deposit matching
- Payment variance analysis
- Underpayment detection
- Balance tracking & reporting
Reconciled to the penny
The Triangle-of-Truth view ties the bank deposit, ERA payment total, and posted ledger total together so cash close does not depend on spreadsheet archaeology.
Unposted ERA lines
Variance drill-down isolates this bucket before the batch can close.
Voided payments
Variance drill-down isolates this bucket before the batch can close.
Manual adjustments
Variance drill-down isolates this bucket before the batch can close.
Check-vs-EFT timing
Variance drill-down isolates this bucket before the batch can close.
Triangle-of-Truth
Deposit batch close
Bank deposit
$148,212.15
ERA total
$148,212.15
Posted ledger
$147,908.40
Variance found: $303.75
Drill-down points to one unposted ERA line tied to a voided payment, preserving close discipline without force-closing.
How Payment Posting Works
Ingest
Automatically receive ERA/835 files from clearinghouses
Match
AI matches payments to claims with intelligent algorithms
Post
Auto-post payments, adjustments, and denials to your PMS
Reconcile
Match to bank deposits and identify variances
Built for the biggest files
Legacy posting tools often force posters to split Medicare ERAs, wait for overnight imports, or re-run failed batches manually. QuickIntell sends large remittances through an async path built for file size, progress visibility, and restartable processing.
Million-line Medicare ERAs route to the async path instead of blocking the workspace.
SQS workers process large files in the background while posters keep working exceptions.
50-line chunked inserts limit memory pressure and preserve restartable progress.
S3 offload keeps large claim arrays available for audit without loading them into the UI.
Daily Summary shows in-flight status so cash leaders can see queue, processing, and completion.
Who Uses QuickIntell Payment Posting?
Physician Practices
Automate daily payment posting and reduce staff time spent on manual remittance processing.
Hospitals & Health Systems
High-volume payment processing with enterprise reconciliation and multi-facility support.
Billing Companies
Scalable payment posting across multiple clients with client-specific workflows and reporting.
Security & compliance
Payment posting touches PHI, payment amounts, payer trace numbers, and EHR ledger updates. QuickIntell keeps those workflows tenant isolated, encrypted, signed, and auditable from intake through reversal.
Review the Trust CenterHIPAA BAA available for covered-entity workflows
SOC 2 Type II certified controls referenced from the QuickIntell Trust Center
AES-256 at rest and TLS 1.2+ in transit
HMAC-signed worker APIs for background posting jobs
Multi-tenant isolation enforced by organizationId
Row-level access logs for posting, reversal, and write-back actions
Frequently Asked Questions
What if I post to the wrong patient?
QuickIntell supports a full reversal workflow, including EHR ledger write-back rollback. Reversals are audit-logged, require a clear reason, and can be completed through supervisor override when the original poster is unavailable.
How big an ERA can you handle?
The parser is built for million-line Medicare files. Large remittances route through the SQS async path with chunked inserts, S3 offload, and in-flight progress visible on the Daily Summary.
Which clearinghouses and EHRs do you integrate with?
QuickIntell supports clearinghouse flows through Availity and Stedi, EHR write-back through OpenEMR FHIR, Athena, and Epic, and legacy eClinicalWorks workflows through Stagehand browser automation where modern APIs are not available.
How is my data secured?
Payment data is protected under HIPAA BAA workflows with AES-256 encryption at rest, TLS 1.2+ in transit, HMAC-signed worker APIs, RBAC, multi-tenant isolation by organizationId, and row-level access logs.
Can you detect duplicate ERAs?
Yes. QuickIntell detects duplicate ERAs by trace number plus dollar amount and routes suspected duplicates for review before posting.
What's the auto-posting rate?
QuickIntell achieves 95%+ auto-posting rates on average. Payments that can't be automatically matched are routed to exception queues with AI-suggested resolutions.
Do you support paper EOBs?
Yes! Our QuickERA module converts paper EOBs to electronic 835 format using OCR and AI extraction. This enables the same automated posting workflow for all remittances.
How do you handle partial payments and takebacks?
Our system intelligently handles partial payments, takebacks, and recoupments. It applies payments to the correct line items and creates appropriate adjustment entries automatically.
Can you detect underpayments?
Yes! QuickIntell compares posted amounts against contracted rates and flags potential underpayments for review. This helps recover revenue that would otherwise be missed.
How does integration work?
We integrate with all major practice management systems and clearinghouses. ERA files flow automatically into our system, and posted transactions sync back to your PMS.
Related Products
QuickERA
Convert paper EOBs to electronic 835 format
Contract Management
Pursue underpayments flagged from contract variance checks
Coordination of Benefits
Auto-generate secondary claims from COB opportunities
AR Management
Route aged balances and posting exceptions into work queues
Claims Filing
Submit clean claims with 98%+ acceptance rate
Denial Management
Automate denial prevention and appeals
Ready to Automate Payment Posting?
Join healthcare organizations achieving 95% auto-posting rates with QuickIntell.