Payment Posting Rules helps streamline the processing of denials and rejections. Once ERAs are received, LIS automatically parses all electronic files. Using advanced grid filters, users can post payments in seconds. However, working denials and rejections still requires knowledge, skill, and time to analyze, process, and resolve.

With Payment Posting Rules, denial and rejection workflows become more organized, allowing staff to complete the job faster and more efficiently.

Simple Workflow

A more experienced biller can create a Payment Posting Rule with conditions and actions such as:

• If Bill Type is All

• If Payer is All

• If Contains

• If Group Code is OA

• If Adjustment Code is 109 or 31

Then: add to Case

Once the rule is executed, LIS will:

• Set imported payments to On Hold so they do not continue revolving with newly imported payments

• Distribute denials to the appropriate Case

• Notify each assigned user by email when new denials are received

• Allow users to begin working the denials immediately

Each case can include:

• A brief analysis of the denial

• Steps to correct the claim

• Guidance on how to avoid the denial in the future

This information can be entered by an experienced billing team member or generated with our AI remittance specialist, Remi.

For more information about this feature, please schedule a training session with our technical support specialist.