Payment operations for healthcare and medical billing.
ERA batches that post only when the bank and the payer agree, patient plans with statuses the ledger derives, and physician splits under dual control — revenue-cycle money movement that reconciles.
Healthcare revenue-cycle money is uniquely messy: payers remit in ERA batches that rarely match what was billed, patients pay over plans that span months, and physician compensation splits a single payment across providers. The reconciliation between what was charged, what was paid and what's owed is where practices lose money and time.
Digital Treasury brings ledger discipline to the revenue cycle: ERA batches post only when the bank deposit and the remittance agree, patient plans derive their status from actual postings, and provider splits move under dual control. It ships as CareOps.
The money problems in Healthcare.
ERA that doesn't match the bank
A remittance advice says one thing; the deposit says another. Posting either in isolation creates a reconciliation gap that compounds every batch.
Patient payment plans
Patients pay balances over months. The status of each plan — current, behind, complete — should be derived from what actually posted, not tracked by hand.
Physician compensation splits
One payment often has to split across providers under a comp agreement — real money movement that deserves dual control and an audit trail.
How Digital Treasury solves it.
ERA posts only on agreement
A remittance batch posts to the ledger only when the bank deposit and the payer's advice reconcile — so the books never carry a payment the bank didn't actually make.
Patient plans with derived status
Each plan's status is computed from actual ledger postings, so 'current' or 'behind' is always true to the money, not to a manually updated field.
Provider splits under dual control
Physician compensation splits are balanced ledger postings gated by dual approval, with a full audit trail on every disbursement.
The configured product for Healthcare.
CareOps is Digital Treasury for healthcare — ERA batches that post only when bank and payer agree, patient payment plans with ledger-derived statuses, and physician compensation splits under dual control.
Healthcare, answered.
How do you reconcile ERA remittances to deposits?
A remittance batch posts to the ledger only once the payer's advice and the actual bank deposit agree, so a mismatch is surfaced and held rather than posted — the books never carry money the bank didn't move.
Can patient payment-plan status be automated?
Yes. Each plan's status is derived from actual ledger postings rather than a manually maintained flag, so 'current', 'behind' or 'complete' always reflects the real money.
Other markets on the same engine.
Legal / IOLTA
Client money held in trust, three-way reconciled, and moved to operating only against an earned, approved invoice. Bar-compliant trust accounting as infrastructure — not a bolt-on.
Lending / fintech
Originate on a hold, disburse on a rail, collect on a schedule — all on one ledger that always knows the outstanding balance. Lending infrastructure without stitching three systems together.
HOA / community
Dues collected on schedule, a reserve fund that always reconciles, and vendor payments that clear on a board quorum — not a manager's say-so. Association finances with governance built in.
Move money in Healthcare on infrastructure built for it.
One API for payments, ledgering and compliance — white-labeled as CareOps, or connected to your own systems.
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