Revenue reconciliation and error reporting

Purpose

1.1. Ensure all revenue from client billing, insurance payments, and co-pays is accurately tracked and matched against bank deposits and accounting records.
1.2. Detect and flag discrepancies or missing payments, automate regular reconciliation reporting, and trigger alerts for manual review or correction.
1.3. Generate error reports detailing underpayments, overpayments, missing claims, and unmatched deposits, ensuring compliance and financial transparency.
1.4. Aggregate data from billing platforms, payment processors, and bank feeds to streamline financial operations across the adult day care service.

Trigger Conditions

2.1. New transaction posted in billing or EHR system.
2.2. Daily or weekly data update in accounting software or bank feed API.
2.3. Detection of mismatch between billed amount and payment received.
2.4. End-of-period close, requiring summary reconciliation report.
2.5. Receipt of claim settlement from insurance providers.

Platform Variants

3.1. QuickBooks Online
• API: /reports/TransactionList endpoint to pull transaction ledger for reconciliation.
3.2. Xero
• API: GET /banktransactions for bank statement imports; GET /invoices for accounts receivable.
3.3. FreshBooks
• API: GET /invoices and GET /payments for cross-matching credits and debits.
3.4. Athenahealth
• API: /v1/charges and /v1/payments for billing and payment flow capture.
3.5. Kareo
• Feature: Payments Report export; API: GET /payments.
3.6. eClinicalWorks
• Feature: Revenue Cycle Management API for claim statuses and payments retrieval.
3.7. Stripe
• API: /v1/charges and /v1/balance_transactions to validate deposits.
3.8. PayPal
• API: /v2/checkout/orders for settlement checks; /v1/reporting/transactions for full ledger.
3.9. Square
• API: /v2/payments; daily reconciliation webhooks for deposit confirmation.
3.10. Plaid
• Endpoint: /transactions/get for retrieving live banking transactions.
3.11. JP Morgan Access
• Feature: Account Analysis API for cross-verification with billing.
3.12. Sage Intacct
• API: GLDETAIL endpoint for general ledger pulls, matching debits/credits.
3.13. Zoho Books
• API: /invoices and /banktransactions for automated matching.
3.14. Availity
• Feature: Claims & Remittance API for real-time ERA (Electronic Remittance Advice) data.
3.15. Office Ally
• Feature: Automated report scheduling for payment and claim status exports.
3.16. Microsoft Power Automate
• Connector: Scheduled cloud flows for aggregating records and generating error reports.
3.17. Google BigQuery
• Feature: SQL jobs for large-scale transaction reconciliation and anomaly detection.
3.18. Airtable
• API: Records endpoint to collect and filter reconciliation statuses.
3.19. Smartsheet
• Feature: Automated report generation and update requests for unresolved errors.
3.20. Salesforce
• Feature: Reports & Dashboards API to visualize discrepancies and overdue records.
3.21. Slack
• API: /chat.postMessage for sending error or exception alerts to finance channels.
3.22. PagerDuty
• Integration: Automated incident creation for urgent mismatches.
3.23. Twilio SendGrid
• API: /mail/send for automated notification delivery of reconciliation or error summaries.
3.24. DocuSign
• API: /v2.1/accounts/{accountId}/envelopes for approval workflows on reconciliation exceptions.

Benefits

4.1. Eliminates manual matching errors and speeds up financial closing cycles.
4.2. Increases detection and correction speed for revenue leakage or missing payments.
4.3. Ensures financial compliance and audit readiness with traceable electronic logs.
4.4. Enhances operational transparency, supporting strategic financial oversight for adult day care centers.