Payment Posting Agent

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Automate remittance processing and reconciliation with a reliable agent that posts payments and adjustments directly into your billing system - fast, accurate, and audit-ready.

Key Value Props:

Eliminate manual posting errors
Reconcile payments faster
Improve AR visibility and financial accuracy

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Why This Agent Matters

Problem

Manual remittance entry is slow and error-prone
Complex rules and adjustment codes overwhelm staff
Delayed visibility into cash flow

Impact

Posting delays, inaccurate ledgers
Financial reporting suffers
Missed reconciliation and reporting windows

How This Agent Helps

Auto-posts EOBs and EFTs with zero-touch logic
Applies payer-specific rules with high accuracy
Updates systems in real time with audit trails

What the Agent Does

Parses EDI 835 remittance files and EFTs from payers or banks
Matches payments to claims and patient accounts
Applies contractual adjustments, write-offs, and denial codes
Post results directly into your EMR or RCM
Flag exceptions and route them for manual review if needed

Example Workflow

Input:

EDI 835 from payer or EFT notification

Agent Action:

Matches to open claims and applies rules

Integration:

Posts payment, adjustment, and status to EMR billing module

Next Step:

Sends exceptions to the billing queue or triggers patient billing.

Systems and Standards Supported

Compatible with EMRs like NextGen, Kareo, and DrChrono
Works with billing platforms like Waystar and Change Healthcare
Supports EDI 835/837, HL7, FHIR
Secure processing with PHI isolation and full audit logging

Deployment Options

Triggered by receipt of the 835 file or EFT deposit
API-first integration with existing billing or ERP systems
Cloud or on-prem deployment
Supports observability dashboards, rollback, and exception queues

Benefits & Measurable Outcomes

90–95% of remits are auto-posted without human review

Faster reconciliation and reduced month-end crunch

Dramatic reduction in posting errors and missed write-offs

Real-time cash flow visibility for financial teams

Engagement Model

Start with one high-volume payer or specialty line.

Expand to cover all inbound remittances and custom contract rules.

Nextigent AI deployment options include:

– Seamless EMR/RCM plug-in

– Custom logic per payer or clinic

– Optional reporting and QA overlay

Let’s deploy the Payment Posting Agent and make revenue reconciliation process effortless.

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