Reconcile every payer, every contract and every fund.
Healthcare finance teams answer to commissioners, auditors and regulators using data that arrives from a dozen systems that were never built to agree with each other. Aurum collects it, reconciles income against the activity that earned it, agrees balances with the bodies you trade with, and posts the result to your ledger, on a schedule, with the evidence retained.
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How can Aurum help healthcare organisations?
Streamlining finance across every payer, system and fund.
Reconcile income from every payer, not just the bank
Healthcare income arrives as contract payments from commissioners, invoices to other NHS bodies and local authorities, insurer and private patient billing, and self-pay at the point of care. Each lands on its own cycle and in its own format. Aurum reconciles all of them against the activity and billing records that generated them, so income is proved back to what was actually delivered rather than agreed at a total.
Agree balances with the bodies you trade with before the quarter closes
The agreement of balances exercise requires healthcare bodies to match income, expenditure, receivables and payables with each other every quarter, and every mismatch has to be investigated and agreed against a deadline. Aurum reconciles your intra-group and inter-body positions continuously, so differences surface as cases through the quarter instead of as a spreadsheet chase in the last week before submission.
Pay valid invoices inside the code rather than after it
The Better Payment Practice Code expects 95% of valid invoices to be paid within 30 days of receipt or by the due date, measured by both volume and value — and the usual reason a trust misses it is an unmatched receipt or an unresolved query sitting in someone's queue. Aurum matches purchase orders, goods receipts and invoices automatically and raises only the genuine exceptions, with ageing and ownership on each one.
Reconcile payroll, bank and agency spend back to the ledger
Pay is the largest line in the accounts and moves through rostering, payroll and banking before it reaches the ledger, with bank and agency staffing added on top. Aurum reconciles payroll output against what left the bank and what was posted, so a variance is identified in the month it happened rather than at year end.
Keep restricted, charitable and patients' money demonstrably separate
Charitable funds, research and endowment money, and money held on behalf of patients all have to be held and evidenced apart from operating funds. Aurum reconciles each fund separately against what is held and what is owed, with the working and the approvals retained, so the position is provable on any given day rather than reconstructed for the auditor.
What does Aurum deliver?
AI powered, all in one platform to centralise your finance operations.
Data collection that runs itself
Financial Data Automation connects to your ledger and shared service provider, patient administration and billing systems, payroll, procurement and banks through APIs, SFTP or web portals where no API exists. Remittances, statements and activity reports that arrive as spreadsheets or PDFs by email are parsed and loaded automatically, so reconciliation starts from structured data rather than someone reformatting an attachment.
Matching you configure, not code
Set match rules in natural language or with expressions, take the AI-suggested rule as a starting point, and apply tolerances so rounding and timing differences don't become breaks. One-to-many and many-to-many matching handles a single block payment covering thousands of episodes of care, or several payments against one invoice.
End-to-end exception management
Unmatched items become structured cases with severity, category, owner and full comment history, tied to the invoice, contract or fund they relate to. Deferred exceptions hold known timing differences until they mature, so the queue holds genuine problems rather than the calendar.
Data collection that runs itself
Financial Data Automation connects to your ledger and shared service provider, patient administration and billing systems, payroll, procurement and banks through APIs, SFTP or web portals where no API exists. Remittances, statements and activity reports that arrive as spreadsheets or PDFs by email are parsed and loaded automatically, so reconciliation starts from structured data rather than someone reformatting an attachment.
Matching you configure, not code
Set match rules in natural language or with expressions, take the AI-suggested rule as a starting point, and apply tolerances so rounding and timing differences don't become breaks. One-to-many and many-to-many matching handles a single block payment covering thousands of episodes of care, or several payments against one invoice.
End-to-end exception management
Unmatched items become structured cases with severity, category, owner and full comment history, tied to the invoice, contract or fund they relate to. Deferred exceptions hold known timing differences until they mature, so the queue holds genuine problems rather than the calendar.
Journals posted straight to your ERP
Journal Entry Automation turns reconciled outcomes into double-entry journals using your own posting rules and cost centre mapping, with income, pay, non-pay and fund accounting separated rather than bundled. Post directly to your finance system or export in whatever format it expects, with validation and approval before anything lands.
Embedded AI
Aurum's AgentOne works inside the product you are already in. Ask why a payer's remittance did not reconcile and it answers from the data on screen, proposes the matching rule for a new file format or drafts the correcting entry for your approval. It holds its own identity, acts on behalf of a named person, and writes nothing without a human approving it.
Best support in the industry
Get support that moves at your pace. On average, we answer in 21 minutes and resolve 87% of cases in under 24 hours, from a UK-based team. Backed by 5 star Trustpilot reviews.
Journals posted straight to your ERP
Journal Entry Automation turns reconciled outcomes into double-entry journals using your own posting rules and cost centre mapping, with income, pay, non-pay and fund accounting separated rather than bundled. Post directly to your finance system or export in whatever format it expects, with validation and approval before anything lands.
Embedded AI
Aurum's AgentOne works inside the product you are already in. Ask why a payer's remittance did not reconcile and it answers from the data on screen, proposes the matching rule for a new file format or drafts the correcting entry for your approval. It holds its own identity, acts on behalf of a named person, and writes nothing without a human approving it.
Best support in the industry
Get support that moves at your pace. On average, we answer in 21 minutes and resolve 87% of cases in under 24 hours, from a UK-based team. Backed by 5 star Trustpilot reviews.
Built for public money and audit.
Evidence every reconciliation
Maintain an immutable record of every match, adjustment, approval and sign-off, with rollback where something was done in error, retained and exportable when internal audit or your external auditor asks.
Keep funds and entities demonstrably apart
Separate reconciliations, rules and reporting per fund, entity and cost centre, so restricted and charitable money is visible rather than inferred from a bank balance.
Surface ageing before it becomes a write-off
Track how long each break, unallocated receipt and disputed balance has been open, with escalation on your own thresholds.
Built for public money and audit.
Evidence every reconciliation
Maintain an immutable record of every match, adjustment, approval and sign-off, with rollback where something was done in error, retained and exportable when internal audit or your external auditor asks.
Keep funds and entities demonstrably apart
Separate reconciliations, rules and reporting per fund, entity and cost centre, so restricted and charitable money is visible rather than inferred from a bank balance.
Surface ageing before it becomes a write-off
Track how long each break, unallocated receipt and disputed balance has been open, with escalation on your own thresholds.
Who benefits?
Our product fits NHS bodies and independent providers alike — from a trust or ICB reconciling contract income and intra-NHS balances, to a private group billing insurers, local authorities and patients across several sites.
How does Aurum work for healthcare?
We have 6,000+ integrations ready to support your ledger, patient systems, payroll, procurement and banks.
Centralise all your data into Aurum and stay in control of your finance operations.
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Why switch to Aurum now?
Breaking even is now an annual duty, not a system-level average
From 2026/27 each NHS trust is expected to deliver breakeven in its revenue position every financial year unless otherwise agreed, with deficits carried forward and repaid rather than absorbed across a system. That raises the cost of an income figure that turns out to be wrong after the year has closed, and it puts the accuracy of in-year reporting under far more scrutiny.
The efficiency requirement is annual and compounding
The current settlement requires efficiency savings of around 2% a year sustained over several years. Savings of that order cannot come from the clinical frontline alone, which is why corporate services — finance, payroll and procurement among them — are being examined for what can be automated or shared.
Every payer and every system adds another reconciliation
Contract income, invoiced income, insurer and private patient billing, local authority funding and patient payments all arrive with their own file, their own timing and their own definition of what an episode of care is. Reconciled by hand, that complexity grows faster than the finance team.
Shared services move the ledger, not the responsibility
As finance functions consolidate into shared service arrangements, the transactions move but the accountability for the numbers stays with the organisation. A reconciliation layer that sits across your own systems and the shared service ledger is how you keep control of a position you no longer process yourself.
Here’s what you can get done with Aurum in just 30 days.
Switch to AurumOur Finance and Business Consultants have worked with some of the most brilliant finance teams in Healthcare. They can help you connect your systems, design better financial processes, automate the ones that work for you, apply proven approaches and best practices, configure and implement Aurum around the way your business needs to operate, and roll out Agentic automation across your team.
See Aurum FinanceOS for Healthcare
Automate your financial processes with us.
Aurum FinanceOS brings benefits to clients of all sizes across every industry. From bespoke setups and multi-currency operations to custom reports, regional quirks, and legacy systems, we've seen it all.
Automation from end-to-end
Compliant with all regulations
Fully scalable solution
Unique financial insights
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