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Anesthesia Resources Saves 5,000+ Staff Hours a Year on ERA Payment Posting

Anesthesia Resources manually processed more than 25,000 electronic remittance advice transactions each month. With a Payment Posting AI Agent, the company reduced processing time from approximately 3 minutes to 2 minutes per transaction, saved 5,000+ staff hours annually, and delivered $360,000 in yearly savings while maintaining 99.65% accuracy

AI Agent Anesthesia Practice
EHR
INFO REQ
Market
INFO REQ
Go-live
INFO REQ
The impact

Faster ERA payment posting with 99.65% accuracy

5,000+ hours

Staff time saved annually.

$360,000

Yearly savings delivered.

99.65%

Accuracy maintained across ERA payment posting.

2 minutes

Processing time reduced per transaction.

Client summary

Anesthesia Resources is a specialized anesthesia practice management and revenue cycle company. It develops and implements customized financial solutions for anesthesia organizations.

Before deploying the AI Agent, the company manually processed more than 25,000 ERA transactions each month. Payment posting took approximately 3 minutes per transaction and consumed 1,250 staff hours monthly.

The opportunity

More than 25,000 monthly ERA transactions were consuming 1,250 staff hours

TRANSACTION VOLUME

Thousands of payments arrived each month, requiring the team to manually process more than 25,000 ERA transactions.

STAFF CAPACITY

Each payment posting took approximately 3 minutes, consuming 1,250 staff hours every month on repetitive work.

DOWNSTREAM CONSISTENCY

Manual posting introduced delays, errors, and inconsistencies that affected downstream revenue cycle functions. The team needed to increase speed and handle volume with minimal oversight.

The approach

Droidal developed a Payment Posting AI Agent to streamline ERA payment posting. The workflow connects ERA retrieval and claim matching with payment allocation, exception handling, ledger updates, and audit reporting.

PHASE 1

RETRIEVE AND MATCH

The AI Agent retrieves ERA files from payer portals or clearinghouses and matches them with the corresponding claims in the billing system.
PHASE 2

ALLOCATE PAYMENTS

It allocates payments, adjustments, and write-offs across procedure lines based on payer remittance codes.
PHASE 3

RECONCILE AND ROUTE

The AI Agent identifies underpayments, denials, and unposted items, then routes those exceptions to staff for resolution.
PHASE 4

UPDATE AND REPORT

It updates the billing system or EHR ledger, prepares records for audit or reporting, and emails a summary of successful entries and flagged exceptions.
Agents deployed

One Payment Posting AI Agent supports the ERA workflow from retrieval through reporting

ERA File Extraction and Matching

86%

86%

Retrieves ERA files from payer portals or clearinghouses and matches them with claims in the billing system.

Automated Insurance Validation

79%

79%

Allocates payments, adjustments, and write-offs across procedure lines using payer remittance codes.

Reconciliation and Exception Detection

64%

64%

Flags underpayments, denials, and unposted items, then routes them to staff for resolution.

Ledger Update and Record Submission

92%

92%

Updates the billing system or EHR ledger with payment data and prepares records for audit or reporting.

Performance Summary and Audit Trail

78%

78%

Generates a report of successful entries and flagged exceptions, then emails the summary for audit and reconciliation use.

By the end of 2026, Lima Memorial is targeting

85%
of eligibility and benefits checks touchless
32
days in A/R across hospital and medical group
$4.2M
annualised net revenue recovered and retained

What could your team hand over in five weeks?

We’ll map your intake and follow-up workflows against the ones Droidal agents already run and show you the hours on the table.