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Remittances are payer remittance advices (835) posted against your submitted claims. A remittance is the payer explaining what it paid, what it adjusted, and what it refused. Columns: Payer · Check/EFT · Date · Paid · Adjustments · Claims · Status

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Reading a remittance

Adjustments is the number to watch, not Paid. A remittance with a healthy payment total can still contain systematic denials on one service code that will repeat every cycle until you fix the cause.

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Posting a remittance

1

Match the payment reference

Confirm Check/EFT against the deposit in your bank record.
2

Post against the claims

The remittance updates each claim’s Paid amount and status.
3

Review adjustments

Every adjustment carries a reason code. Group them to see whether one cause dominates.
4

Work the denials

Claims moved to DENIED need correcting and resubmitting. See Billing.
5

Confirm the totals reconcile

Paid plus Adjustments should account for everything billed on those claims.

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Understanding adjustment codes

Payers explain reductions with standard claim adjustment and remittance advice reason codes. They fall into a few practical groups:
Contractual adjustments are normal and recur on every remittance. Authorization and EVV adjustments are not — those signal a process problem upstream that is costing you revenue every cycle.

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Reconciling at month end

1

Post every remittance received

Unposted remittances make AR aging look worse than it is.
2

Compare paid against billed

The difference should be explained entirely by adjustments.
3

Group adjustments by reason

Recurring non-contractual reasons are your improvement list.
4

Requeue denials

Correct and resubmit before the payer’s timely filing deadline.
Full routine: Month-end billing close.

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Troubleshooting

Billing

Claims and submission.

Finance

Cash flow and budgets.