Electronic remittance advice
From HandWiki - Reading time: 1 min
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
References
- "Electronic Remittance Advice Toolkit". American Medical Association. http://www.ama-assn.org/ama/pub/advocacy/topics/administrative-simplification-initiatives/electronic-transactions-toolkit/remittance-advice.page. Retrieved 18 November 2015.
Citations
- ↑ "835 Electronic Remittance Advice (ERAs) - Stedi" (in en). https://www.stedi.com/docs/providers/providers-electronic-remittance-advice.
- ↑ "What is an Electronic Remittance Advice (ERA)?" (in en). https://www.tempdev.com/glossary/what-is-an-electronic-remittance-advice-era/.
- ↑ "Adopted Standards and Operating Rules | CMS". https://www.cms.gov/priorities/key-initiatives/burden-reduction/administrative-simplification/hipaa/adopted-standards-operating-rules.
- ↑ "HIPAA EDI Document Standard". EDI Basics. GXS, Inc.. http://www.edibasics.com/edi-resources/document-standards/hipaa/. Retrieved 18 November 2015.
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