Claims & denials

ERA (835)

The electronic file describing how a payer adjudicated each claim line, used for automated posting.

What it means in dermatology

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.

The 835 is also the source for underpayment detection, since it carries the allowed amount per line.

Why it matters to your revenue

How the 835 is posted determines whether your denial reporting reflects reality.

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 — including where terms like this one are costing you money.

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