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Reconciling Patient Payments to the EHR: From Deposit to Ledger

MMurphi.ai3 min read
LEDGERPostedMatched to accountReconciled

Collecting a patient payment is only half the job - it still has to be matched to the right account and posted to the EHR ledger. When reconciliation is manual, payments sit unposted, statements go out for balances already paid, and billing staff spend hours cross-checking deposits against accounts.

Where Manual Reconciliation Breaks Down

✓Payments without clear account references - a check or transfer that has to be researched.
✓Duplicate statements - patients billed again for balances already paid.
✓Posting delays - payments collected but not reflected in the EHR for days.
✓Month-end surprises - deposits that don't match what was posted.

What Automated Reconciliation Looks Like

1Every payment carries its account - because it was made from a link tied to that balance.
2Status updates instantly - outstanding to paid as soon as it processes.
3Posted to the EHR - through an API where available, or an authorized workflow where it isn't.
4Exceptions surfaced - only the payments that need a person are flagged for review.

API When Available, Automation When Appropriate

Not every EHR offers a payment-posting API. Where one exists, payments post automatically. Where it doesn't, authorized workflow automation or a reconciled import file can close the loop - only where permitted by the agency and its EHR.

Frequently asked questions

Can payments post to our EHR automatically?+

Where your EHR provides an API and posting is permitted, yes. Where it doesn't, authorized automation or a reconciled import file can be used instead.

What happens to payments that can't be matched?+

They're flagged as exceptions for billing staff to review, rather than being posted to the wrong account.

Does this replace our billing team?+

No. It removes routine matching and posting so billing staff can focus on exceptions and patient questions.

Every payment matched. Every ledger current.Murphi reconciles text-to-pay payments to the right account and returns them to your EHR where supported.Explore Patient Payments →
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