Claim
CLM-48219
D2740 Porcelain crown
M. Alvarez · 12 Mar 2026
- Billed
- $1,842.00
- PMS
- 184429
After the claim goes out, insurance money still has to find its way home — through payers, ERAs, EOBs, payments, deposits, and the PMS. Kaitley follows it, so teams work exceptions instead of reconstruction.
Claim
CLM-48219
D2740 Porcelain crown
M. Alvarez · 12 Mar 2026
ERA · Delta Dental
Allowed $1,247.00
Paid $997.60 · CO-45 $595.00
TRN*1*883412*1951358600
Deposit
$14,820.55
EFT-883412 · 18 Mar 2026
Matched to remittance
Resolved
PMS ready to post · $997.60
The claim lives in the PMS. The payer adjudicates. An ERA or EOB arrives. An EFT or check moves. The bank records a deposit. None of those systems is responsible for the whole story — the office is.
Claim
PMS
Clearinghouse
Payer
ERA / EOB
Adjudication
Payment
EFT / check
Bank
Deposit
PMS
Ledger
Kaitley is not another box in the workflow. It is the layer that follows the money across systems, matches what belongs together, and lands on a single answer: what happened, and what still needs a person.
Claim
PMS
Clearinghouse
Payer
ERA / EOB
Adjudication
Payment
EFT / check
Bank
Deposit
PMS
Ledger
The work is a lifecycle, not a dashboard. Kaitley stays with a payment until it is understood, resolved, and reflected in the practice system.
01
Kaitley connects to the systems that already contain the truth — the PMS, remittance sources, payment files, and the bank.
02
Claims, ERAs, EOBs, payments, and deposits are normalized into one financial picture of what was billed, allowed, paid, and landed.
03
Kaitley determines what belongs together and where the story does not line up — amount, claim, adjustment, or deposit.
04
Routine work moves forward on its own. Exceptions go to the right human with the context required to make a decision.
05
Once resolved, the PMS reflects what actually happened — so the ledger stays accurate without a second reconstruction.
Traditional billing asks people to inspect every claim, EOB, payment, and deposit. Kaitley lets most of that complete quietly. What surfaces is the work that actually needs judgment — with the claim, remittance, and cash context already in one place.
Work
5 resolved · 1 needs a person
Payment matched
Resolved
EFT-883412 · CLM-48219
ERA reconciled
Resolved
Delta Dental 835 · 14 claims
Deposit confirmed
Resolved
$14,820.55 · 18 Mar
Adjustment understood
Resolved
CO-45 contractual · $595.00
Posting ready
Resolved
PMS 184429 · $997.60
Needs judgment
Review
CLM-49002 · paid $0 against allowed $214.00
ERA posts a denial (CO-50) on a crown the PMS still has as pending. Carrier remarks cite frequency. The claim, prior D2740 on the same tooth, and the EOB page are already attached.
A crown is billed. An ERA arrives. Cash lands. The write-off is contractual, not a mystery. No one has to open six systems to prove it. When judgment is required, it is obvious. When it is not, the PMS is ready.
Claim submitted
PMS claim 184429 · D2740 · billed $1,842.00
ERA arrives
Delta Dental 835 · allowed $1,247.00
Payment detected
EFT-883412 · $997.60 to this claim
Bank deposit matched
$14,820.55 landed 18 Mar · remittance inside
Adjustment understood
Contractual write-off $595.00 · CO-45
Human review
Not required on this claim
PMS resolved
Ready to post · ledger matches what happened
Kaitley does not replace the PMS, the clearinghouse, or the bank. It reads the signals they already produce and keeps the revenue story whole.
Practice management
Claims, procedures, and the ledger the office already trusts.
Clearinghouses
The path claims and remittances already travel.
Payers / ERA · EOB
What the carrier says happened — structured when possible, documents when not.
Payments
EFT and check data that prove money moved.
Bank deposits
What actually landed — matched back to remittance, not reconstructed in a spreadsheet.
Named vendors appear when they are supported or approved. How Kaitley connects
Walk through a real insurance payment — claim to ERA to deposit to the PMS — and the exceptions that actually need a person.
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