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ORINOVA GROUP
Home / Services / EOB / ERA Reconciliation

Payment Accuracy and Reconciliation Support

Compare the remit, expected reimbursement, and system posting - without confusing billed charges with actual payment expectations.

OriNova performs structured EOB and ERA reconciliation to identify posting differences, unexplained balances, missing transactions, and potential reimbursement discrepancies. Each finding is tied to available evidence and separated from contractual adjustments, patient responsibility, and items that cannot be confirmed.

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Business-only discovery firstNo bank accessEvidence and scope controls

Who this service is for

  • Practices that post payments but do not perform deeper reconciliation
  • Teams seeing unexplained balances after ERA posting
  • Organizations concerned about missing, partial, or inconsistent postings
  • Practices that want a documented second review of selected payers or periods

What OriNova reviews

  • Payer payment shown on the EOB or ERA
  • Expected allowed amount when supported
  • Patient deductible, copay, and coinsurance
  • Contractual and other adjustments
  • Billing-system payment and adjustment posting
  • Remaining balance and claim-history activity
  • Deposit or batch evidence when included in scope

Operational and reimbursement risks this can surface

  • Missing system postings
  • Patient responsibility posted differently from the remit
  • Contractual adjustments entered incorrectly
  • Payer payment differences between source and system
  • Balances that cannot be reconciled with available evidence

What the client receives

  • Claim-level reconciliation log
  • Exception and discrepancy summary
  • Potential reimbursement discrepancy list
  • Posting-correction review list for the client
  • Executive findings and recommended follow-up actions
Important scope reminderOriNova provides analytical review, operational assessment, documentation, and reporting support. Findings do not authorize coding changes, payer submissions, claim corrections, appeals, write-offs, or guaranteed recovery. Items requiring payer-specific research, qualified coding or clinical review, legal review, or client confirmation are clearly flagged.

How the engagement works

1. Confirm

Confirm the claim population, period, and reconciliation unit

2. Receive

Receive the approved minimum-necessary source files after onboarding gates

3. Compare

Compare remit, expected reimbursement evidence, claim history, and posting

4. Classify

Classify each difference and document the evidence or missing information

5. Complete

Complete QA and deliver the findings report and supporting log

Frequently asked questions

Do billed charges determine whether a payer underpaid?

No. Payment should be compared with the expected allowed amount and applicable patient responsibility when that evidence is available.

Do you correct the billing system?

Not under the standard service. OriNova documents the difference and recommended review action; the client controls system corrections unless separate written authority is established.

Can you reconcile an ERA without contract rates?

Some posting differences can still be identified, but potential underpayment conclusions may remain limited or require client confirmation when expected allowed evidence is unavailable.

Need clearer eob / era reconciliation findings?

Start with a short business-only conversation to define the question, scope, and evidence.

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