Payment Posting
Payment Posting from Soft Home Global costs $1,500 per seat per month. That is one full time trained person, forty hours a week, working United States business hours inside your own system. One seat, one month, cancel any time.
Payment posting is the daily work of getting money the practice has already been paid recorded against the right claim, the right line and the right patient balance. When it runs late or in bulk, underpayments look like contractual adjustments, denials sit unread inside remittance files, and the AR report starts describing a practice that no longer exists.
What the seat actually does
- Pulls ERAs from the clearinghouse and payer portals daily, and works paper EOBs and lockbox scans into the same daily run rather than saving them for month end
- Posts line by line — allowed amount, paid amount, contractual adjustment, patient responsibility — instead of dropping a lump sum against the claim
- Reconciles every remittance to the deposit that hit the bank, so posted totals match banked totals, and writes up any difference rather than carrying it forward
- Sends underpaid lines to the AR queue instead of absorbing the gap as a contractual write-off, so a shortfall is something you decided to accept rather than something nobody saw
- Routes zero-pays, denials and takebacks to the right queue with the remittance reason attached, and moves the balance to the secondary payer or the patient as the remittance directs
- Closes each batch balanced and logs what could not be posted and why — unidentified deposits, recoupments applied against unrelated claims, missing remittances
What it costs
$1,500
Per seat, per month, in US dollars. Full time, forty hours a week, on US hours — not per hour, not per claim, and never a share of your collections.
Compare against the other 21 roles →
The denial codes this seat works
4 codes, grouped the way the queue is worked rather than by number. Each one links to what causes it, the order to work it, and how to stop it recurring.
Worked by being checked against the contract before any work is done
- OA-23 — Prior payer already adjudicatedThis is a coordination of benefits adjustment on a secondary claim. It reflects what the primary payer already did rather than a problem with your claim.
- CO-253 — Sequestration reductionA statutory percentage reduction applied to a federal payment. It is not a denial and there is nothing to appeal.
Worked by being fixed at coordination of benefits and rebilled
- N522 — Crossover duplicateThe secondary payer already has this claim — Medicare forwarded it automatically — and the copy you sent is the duplicate.
- N4 — Primary EOB missingThe secondary payer will not adjudicate without the primary payer’s decision: what was allowed, paid and adjusted, line by line.
Working a denied claim costs $57.23 per denied claim in administrative time (source) and about about 90% of initially denied claims are eventually paid. The reason they sit is almost never that nobody knows how. It is that nobody has the hours.
How a seat starts
You issue one named login. We sign the Business Associate Agreement before it is used. We agree the numbers you will judge the seat on, which you pick and you measure. Then we train for about a week on your workflow and the seat starts. Every Friday you get a written report of what was done, what the numbers were, and what went wrong.
Questions
How much does payment posting cost?
$1,500 per seat per month. That is a full time person, forty hours a week, working United States business hours. Not per hour, not per claim, and not a percentage of what you collect.
Is there a minimum contract?
One seat for one month, cancellable with thirty days notice. There is no annual lock-in.
Do we have to change systems?
No. The work happens inside whatever you already use, through a named login you issue. We do not sell software and we do not route your data through anything of ours.
How quickly can a seat start?
About a week from the agreement, which covers training on your workflow, your payer mix and your system. You are not charged extra for that week.
Do your people work inside our practice management system, or do you post somewhere else and send us a file?
Inside yours, on logins you issue and permissions you set. There is no second ledger on our side, and your data is not exported into tools of ours. If your system restricts posting rights by role, tell us the role and the seat works within it. Anything the permissions block gets handed back to your staff rather than worked around.
What happens to money we cannot identify — unapplied cash, or a deposit with no matching remittance?
It goes to the unapplied or suspense account you nominate and onto a written exception list. It does not get posted to a claim that looks close enough, because that is how unapplied cash becomes a painful clean-up later. The seat chases the payer or the bank for the backup, and anything still unidentified at the end of the window you set comes to you by name. Expect that list to be longest early on, while the seat learns your payer mix.
How can you flag an underpayment when you do not hold our payer contracts?
Honestly, we cannot price one without them. If your contracted rates are loaded in the system, the seat works the variance the system reports. If they are not loaded, the seat can only flag patterns — the same procedure paid at two different amounts by the same payer, or a rate that drops after a given date — and pass those to you. That is suspicion, not proof. Contract-level recovery needs the contracts loaded, and we will say so rather than dress the flags up as findings.
Does an offshore seat get access to our bank account, or move money?
No. The seat reads — remittance files, deposit reports, and whatever read-only view you grant. It does not initiate transfers, release refunds or hold banking credentials. Refunds and adjustments above a threshold you set are prepared in your system for someone on your side to approve. If your bank portal has no read-only role, we would rather work from a daily deposit report than hold a full-access login.
Next step
Try one payment posting seat for a month
$1,500 for the month. If it does not earn its keep, cancel it. Twenty minutes on a call is enough to tell whether it fits.
Or write to ops@softhomeglobal.com