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Healthcare reconciliation

RecoNexus Healthcare

A healthcare-focused version of RecoNexus for reconciliation and operational workflows that require more structured review.

RecoNexus Healthcare dashboard with paid amounts, open exceptions, and recent remit batches.
Recent remittances: what was paid, what’s ready for review, and what still doesn’t match.
RecoNexus Healthcare matching bank deposits to remit rows and flagging the difference.
A bank deposit next to the remit rows, with the difference called out.
RecoNexus Healthcare claim breakdown with a read-only answer about the exceptions.
One claim inside the batch. Questions about the remits stay read-only.

The problem

Remittances, claims, and deposits do not always line up, and someone still has to review the difference before anything is posted.

What it can do

  • Show a batch of remittances with what was paid, what is ready for review, and what is still an exception.
  • Compare a bank deposit with the remit total and flag the difference.
  • Group exceptions — partial payment, denial, patient responsibility, adjustment, recoupment, a missing claim, a deposit mismatch — so a person can review them.
  • Open one resident and claim inside a batch.
  • Answer questions about the imported remits. It does not post or change the record.
  • Record that someone looked at an exception. That does not approve it or post it. Posting stays in the billing system.