Service 7 of 9
Claims reconciliation
Billed against paid, line by line, with short pays flagged.
- Payors
- Providers
How it runs
AI-led: 2 of 4 steps
AI + person-led: 1 of 4 steps
Person-led: 1 of 4 steps
- Matches payments to invoices across checks and EFTs AI
- Flags short pays, overpayments and duplicates against the fee schedule AI
- Decides disputes, refunds and adjustments Person
- Reports aging and exposure by payer AI + person
Always reserved for a person: A person decides every refund, write-off and dispute.
Who it is for
- Providers who suspect they are being short-paid but cannot prove it line by line
- Payors who want overpayments and duplicates found before an audit does
- Finance teams reporting aging and exposure
How it connects
- Payment posting: Reconciliation starts from line-level postings.
- Denials & collections: Recoverable short pays become collection work.
- Invoicing & billing: Patterns in short pays feed billing rule reviews.
What gets measured
The numbers we report to you.
Targets are agreed with each client, per task. We report against them, and automation is held to historical human accuracy.
- Match rate Payments matched to the invoice line they pay.
- Short-pay detection Underpaid lines found, by payer and reason.
- Dispute cycle time From a flagged line to a decision.
- Aging Open balances by payer and age band.
Next service: Denials & collections →
Talk to us
Talk to us about claims reconciliation.
We'll show you how we'd run it: what AI would handle, where your team or ours would decide, and what we'd measure.
Talk to us- Pharmacy help desk · Workers' comp
- 844.328.2048
- Pharmacy help desk · Auto no-fault
- 844.569.8876
- helpdesk@health-lift.com
- Billing address
- PO Box 520190, Salt Lake City, UT 84152