Electronic remittance advice

Last updated

An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation. [1] It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. The explanations include the denial codes and the descriptions, [2] which present at the bottom of ERA. ERA are provided by plans to Providers. In the United States the industry standard ERA is HIPAA X12N 835 (HIPAA = Health Insurance Portability and Accountability Act; X12N = insurance subcommittees of ASC X12; 835 is the specific code number for ERA) [3] , which is sent from insurer to provider either directly or via a bank. [4]

Contents

See also

References

Citations

  1. ↑ "835 Electronic Remittance Advice (ERAs) - Stedi". www.stedi.com. Retrieved 2026-01-13.
  2. ↑ "What is an Electronic Remittance Advice (ERA)?". TempDev. Retrieved 2026-01-13.
  3. ↑ "Adopted Standards and Operating Rules | CMS". www.cms.gov. Retrieved 2026-01-13.
  4. ↑ "HIPAA EDI Document Standard". EDI Basics. GXS, Inc. Retrieved 18 November 2015.
This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.