Auto Posting - Table of Contents

What is Auto Posting?

• Electronically posting remittance
• Matching remittance data to claims
• Posts payments
• Post Adjustments and Codes
  • Based on eCR Posting settings
    • Close Charge
    • Roll to next Payer
    • Exceptions Displayed and Actionable

Advantages of Auto Posting

• Time Saver
• Remove human error factor
• All Remit information direct to claim
• Reduce claim management turn around time

How does Auto Posting work?

• 835s are always being retrieved from the integrated solution (Ability, etc.), whether logged in or not. 
• 835 files are automatically parsed and stored as reportable data.
• Data is now available to be viewed in new auto-posting screen and processed for posting.

Key Features of New Auto Posting

• Payer/Insurance Learning Table
  • Remembers associations between Payers and Payer Groups
  • Will correct prior exceptions based on learned knowledge
• Payer Group Association
• Dynamic String logic
  • The system can rapidly adjust algorithm for payer changes

Decision Tree

• Each claim is run through a logic course to make sure it is properly matched and posted if possible.

Payer Challenges

• Payers send different information in 835s
  • Medicaid IDs vs. Managed Medicaid Payer IDs
  • Leading or trailing characters to claim ID

Related Article: 

Auto Posting in eCR