Healthcare AP Guide

Automated Statement Reconciliation for Hospitals

A vendor statement with dozens of line items can eat one to two hours of an AP specialist's day. Here's why healthcare statement reconciliation is so time-consuming and how automation brings it down to about 15 minutes.

Why manual statement reconciliation is so slow

A vendor statement is a list of every invoice the vendor thinks is open, often dozens of lines covering a month or a quarter. To reconcile it, someone has to take each line, find the matching invoice and payment in the ERP, and decide whether the two agree. When they don't, the specialist has to work out why: a partial payment, a credit memo, an invoice the hospital never received, or a payment the vendor hasn't applied yet.

Healthcare makes this harder than most industries. Vendor volume is high, the same vendor often bills across multiple entities, and group purchasing organization relationships add billing complexity that doesn't map cleanly to a single statement. A 40-line statement can easily turn into an afternoon of lookups.

How automation works

Auxtri starts where the statement arrives: the AP inbox. It OCR-extracts every line from the statement PDF into structured invoice references and amounts, so the comparison runs against data instead of a scanned image. It then matches each line against your ERP's invoice and payment records.

The messy cases are handled rather than dropped. Partial payments, credit memos, and unapplied credits are categorized so the summary reflects what actually happened in your ERP. The result lands in the review queue grouped as matched, unmatched, or discrepancy, so your specialist scans the exceptions instead of re-keying the whole statement. From there, the draft response back to the vendor references the actual ERP data for each discrepancy, ready for a person to approve and send.

The time savings

The work that used to take one to two hours per statement comes back in about 15 minutes. The specialist isn't doing the lookups anymore; they're reviewing a finished reconciliation and confirming the exceptions. Across a month of vendor statements, that's the difference between a recurring backlog and a same-day turnaround.

These figures come from a regional hospital that put Auxtri on its AP inbox. The same engagement cut time per vendor inquiry from 5 to 10 minutes down to about 30 seconds.

It works on your ERP

Statement reconciliation runs on the same inbox layer regardless of ERP. The matching queries Infor CloudSuite FSM through the ION API, Workday Financial Management through the Workday REST API, Oracle Fusion Cloud Financials through Oracle REST APIs, and Oracle PeopleSoft through Integration Broker REST.

Your vendors keep sending statements the way they always have, and your ERP configuration doesn't change. Auxtri reads the records it needs to reconcile against and never alters them.

Reconcile a Real Statement Live

Bring a vendor statement to a live demo. We'll run it through extraction and matching against sample ERP data so you can see the reconciled summary for yourself.