835 Electronic Remittance Advice (ERA) Decoder
Decipher complex 835 claim adjustment loops (CLP, CAS, SVC) instantly. Translate CO contractual write-offs, PR patient responsibility balances, and OA adjustments into clear financial allocations and appeal plans.
835 Electronic Remittance Advice (ERA) Decoder
Paste raw 835 electronic remittance segments (CLP, CAS, SVC) or explore real clinical presets to translate adjustment reason codes into plain English with clear collection action items.
Sample Remittance Scenarios:
Decoded Adjustment Codes & Remittance Groups
Meaning: Charge exceeds contracted allowable fee schedule.
Billing Action: Provider write-off. Never balance bill the patient for CO-45 under contract.
Meaning: Deductible amount.
Billing Action: Bill directly to secondary supplemental insurance or patient statement.
Meaning: Coinsurance amount (20% Medicare Part B statutory rate).
Billing Action: Bill secondary payer (Medigap) or collect from patient.
Check for automatic crossover to Medigap. If no crossover ERA received in 14 days, bill secondary claim with attached Medicare EOB.
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