> ## Documentation Index
> Fetch the complete documentation index at: https://docs.officeridge.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Remittances

> Payer remittance advices (835) posted against submitted claims.

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

## Reading a remittance

| Column          | What it tells you                                    |
| --------------- | ---------------------------------------------------- |
| **Payer**       | Who sent the payment                                 |
| **Check/EFT**   | The payment reference to reconcile against your bank |
| **Date**        | Payment date                                         |
| **Paid**        | Total paid across all claims in the remittance       |
| **Adjustments** | Total reduced, denied, or written off                |
| **Claims**      | How many claims the remittance covers                |
| **Status**      | Where the remittance is in posting                   |

<Warning>
  **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.
</Warning>

## Posting a remittance

<Steps>
  <Step title="Match the payment reference">
    Confirm **Check/EFT** against the deposit in your bank record.
  </Step>

  <Step title="Post against the claims">
    The remittance updates each claim's **Paid** amount and status.
  </Step>

  <Step title="Review adjustments">
    Every adjustment carries a reason code. Group them to see whether one cause dominates.
  </Step>

  <Step title="Work the denials">
    Claims moved to `DENIED` need correcting and resubmitting. See [Billing](/billing).
  </Step>

  <Step title="Confirm the totals reconcile">
    **Paid** plus **Adjustments** should account for everything billed on those claims.
  </Step>
</Steps>

## Understanding adjustment codes

Payers explain reductions with standard claim adjustment and remittance advice reason codes. They
fall into a few practical groups:

| Kind of adjustment | What it usually means                                                      |
| ------------------ | -------------------------------------------------------------------------- |
| Contractual        | The payer's agreed rate is lower than your charge. Expected, not an error. |
| Authorization      | The service was not authorized, or units exceeded the authorization.       |
| Eligibility        | The member was not eligible on the service date.                           |
| Duplicate          | The service was already billed.                                            |
| EVV                | No matching verified visit was found.                                      |

<Tip>
  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.
</Tip>

## Reconciling at month end

<Steps>
  <Step title="Post every remittance received">
    Unposted remittances make AR aging look worse than it is.
  </Step>

  <Step title="Compare paid against billed">
    The difference should be explained entirely by adjustments.
  </Step>

  <Step title="Group adjustments by reason">
    Recurring non-contractual reasons are your improvement list.
  </Step>

  <Step title="Requeue denials">
    Correct and resubmit before the payer's timely filing deadline.
  </Step>
</Steps>

Full routine: [Month-end billing close](/guides/month-end-billing-close).

## Troubleshooting

| Problem                                       | What to check                                                                                           |
| --------------------------------------------- | ------------------------------------------------------------------------------------------------------- |
| A remittance will not post                    | Confirm the claims it references were actually submitted from this organization.                        |
| Paid does not match the bank deposit          | Compare **Check/EFT**. One deposit can cover several remittances.                                       |
| A claim shows paid but the amount looks short | Check the adjustments on that claim. Contractual reductions are expected.                               |
| Denials repeat on the same service code       | The bill code configuration or authorization setup is wrong. See [EVV matching](/billing/evv-matching). |

## Related

<CardGroup cols={2}>
  <Card title="Billing" icon="receipt" href="/billing">
    Claims and submission.
  </Card>

  <Card title="Finance" icon="dollar-sign" href="/finance">
    Cash flow and budgets.
  </Card>
</CardGroup>