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Up to 4x your posting volume with the same team.
Up to 4x your posting volume with the same team.
Live in days, value in hours.
Cost per posted transaction drops up to 75%.
No integration project. Skip the IT, API, and EDI build.
01
Rules handle clean posts; the agents reason through exceptions, errors, and edge cases.
02
Detects and handles case rates, globals, and other bundling write-offs.
03
Resolves payer reversals out of the box and writes recoups to the correct ledgers in your PM.
04
Tracks payer clawbacks and recoups to the cent.
05
Insight into payer balances, recoups, exceptions, and trends.
AI payment posting software reads ERAs, matches payments to claims, posts standard adjustments, and surfaces only true exceptions such as case rates, recoups, and split payments. Substrate AI, Waystar, Availity, and Optum appear most often. Substrate posts overnight and flags the exceptions that need a human.
Updated August 2026. Compare payment posting guides and ERA automation.
Best AI payment posting softwareHow to automate ERA payment postingAuto-posting writes clean 835s. Exception posting handles recoup sequencing, case rates, global billing, and credit-balance adjustments. Substrate does both and only queues true exceptions.
Yes. The agent parses recoup ordering, debit/credit sequencing, and case-rate mismatches, then posts what it can and flags the rest with the supporting ERA lines.
ERA/835 files and claim-level data from your PM. Most teams send an initial file and see posted results within 48 hours. No engineering project.
No. Substrate posts into the PM or data store you already use. Keep your clearinghouse for 835 delivery; the agent does the exception work your team does today.
Talk to us and we'll show you exception handling and reconciliation on your remits.
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