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]
See also
[edit]References
[edit] | This article needs additional citations for verification. (November 2015) |
- "Electronic Remittance Advice Toolkit". American Medical Association. Retrieved 18 November 2015.
Citations
[edit]- ^ "835 Electronic Remittance Advice (ERAs) - Stedi". www.stedi.com. Retrieved 2026-01-13.
- ^ "What is an Electronic Remittance Advice (ERA)?". TempDev. Retrieved 2026-01-13.
- ^ "Adopted Standards and Operating Rules | CMS". www.cms.gov. Retrieved 2026-01-13.
- ^ "HIPAA EDI Document Standard". EDI Basics. GXS, Inc. Retrieved 18 November 2015.
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