Claims & denials · Definition
ERA (835): Definition
The electronic file describing how a payer adjudicated each claim line, used for automated posting.
This is a short definition only. The full explanation lives on EHR and practice management billing, which is the page to read if you are dealing with this on live claims.
Definition
Also known as: Electronic remittance advice
Auto-posting from the 835 is fast, but it also silently converts denials into adjustments when posting rules are configured loosely.
Reason-code mapping should be reviewed rather than inherited.
For worked examples, payer rules and documentation requirements, read EHR and practice management billing. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.