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ERA/EOB Posting

ERA/EOB posting involves the following steps:

1. Receiving ERAs/EOBs: ERAs are received electronically from insurance companies through secure electronic data interchange (EDI) systems. EOBs are received in the mail or on payer websites.

2. Posting or Data Entry: The information from the ERA/EOB is entered into the provider’s billing or practice management software. This includes updating the claim’s status, payment details, patient responsibility, and any denials or adjustments. HCC is also reviewing the claims to ensure that the payment and adjustments are accurate.

3. Reconciliation: The posted data is reconciled with the provider’s accounts receivable and billing records to ensure accuracy. Any discrepancies or issues are identified and addressed. HCC will send a weekly report of any discrepancies and/or denials and instructions on how to fix these for future claims via encrypted email. 

4. Reporting: Reporting and analytics tools may be used to track trends in payment processing, denials, and reimbursement. This data can be valuable for financial planning and decision-making.

ERA/EOB posting is a crucial step in revenue cycle management, as it helps healthcare providers track and manage their payments from insurance companies, reduces the risk of errors, and accelerates the revenue collection process. By using HCC for this process, providers can improve efficiency and reduce administrative overhead.