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HIPAA EDI Companion Guide for 835 Electronic Remittance Advice ASC X12 Standards for Electronic Data Interchange Technical Report Type 3 (TR3) Version 005010×221A1 Companion Guide Version: 2.0 Disclosure
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How to fill out electronic remittance advice

How to fill out electronic remittance advice:
01
Open the electronic remittance advice form on your computer.
02
Fill in the required fields, such as your name, address, and contact information.
03
Enter the payment details, including the amount received, date of payment, and any reference numbers.
04
Provide a detailed description of the service or product for which the payment is being made.
05
If applicable, include any relevant billing codes or insurance information.
06
Review the completed form for accuracy and completeness before submitting it.
07
Save a copy of the electronic remittance advice for your records.
Who needs electronic remittance advice:
01
Healthcare providers: Hospitals, doctors, and other healthcare professionals often require electronic remittance advice to keep track of payments received from insurance companies and patients.
02
Insurance companies: Electronic remittance advice helps insurance companies reconcile claims and ensure accurate payments to healthcare providers.
03
Businesses and organizations: Any entity that receives payments electronically may require electronic remittance advice to track and reconcile their financial transactions.
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What is electronic remittance advice?
Electronic remittance advice (ERA) is an electronic version of a paper remittance advice that provides details about payments made by insurance companies and other payers for healthcare services. It typically includes information such as the amount paid, the date of payment, and any adjustments or denials.
Who is required to file electronic remittance advice?
Healthcare providers, billing companies, and other entities that receive payments for healthcare services are typically required to file electronic remittance advice.
How to fill out electronic remittance advice?
Electronic remittance advice is typically filled out using a software system that is capable of generating and transmitting the electronic file in the required format. Providers may also need to work with their clearinghouse or practice management system to ensure the information is transmitted properly.
What is the purpose of electronic remittance advice?
The purpose of electronic remittance advice is to provide healthcare providers with detailed information about payments made for healthcare services, allowing them to reconcile payments, track claims, and identify any issues that may need to be addressed.
What information must be reported on electronic remittance advice?
Electronic remittance advice typically includes information about the payment amount, date of payment, reason for payment, adjustments, denials, and any other relevant payment details.
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