What action is appropriate when RA lines do not align with charges due to data mismatch?

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When remittance advice lines don’t line up with the charges because of data mismatch, the correct approach is to pause auto-posting, review the RA against the charges, and make manual adjustments to align them before posting. Auto-posting depends on a clean, one-to-one match between the RA line items and the billed charges; if the data doesn’t align, automatic posting can misapply payments, distort patient balances, or misstate payer credits. By carefully inspecting each line item—checking amounts, dates, and codes—and adjusting the mappings or the charge entries to achieve a proper alignment, you ensure payments are applied correctly. Once the alignment is verified, you can proceed with posting. Ignoring the mismatch, deleting the RA, or creating a new patient record does not fix the underlying mismatch and can lead to inaccurate billing records and further errors.