AK

📋 Page Guide

Electronic Remittance Advice (ERA 835) files are sent by payers to detail claim payments and adjustments. This page lists received ERA files and shows claim-level breakdown for reconciliation.

  • CARC — Claim Adjustment Reason Codes explain why payment differs from billed amount
  • RARC — Remittance Advice Remark Codes provide additional payment information
  • Common CARC: 1=Deductible, 2=Coinsurance, 45=Over UCR, 97=Payment included in other claim

Click "Preview EOB" to generate a patient-friendly Explanation of Benefits document. EOBs can be sent to patients by mail or via the Member Portal.

  • ERA 835 File — Raw X12 EDI file for system import
  • PDF EOB — Patient-friendly explanation document
  • Excel Reconciliation — Spreadsheet for manual reconciliation
ERA 835 / EOB
Electronic Remittance Advice & Explanation of Benefits
ERA Files (6)
$4,820.15
ERA_BCBS_20260328.835
BlueCross BlueShield  ·  Mar 28, 2026
Processed
$2,144.00
ERA_AETNA_20260315.835
Aetna Health  ·  Mar 15, 2026
Processed
$7,320.50
ERA_MEDICARE_20260301.835
CMS Medicare  ·  Mar 1, 2026
Processed
$1,892.75
ERA_UHC_20260215.835
United Healthcare  ·  Feb 15, 2026
Processed
$3,410.00
ERA_MEDICAID_20260201.835
State Medicaid  ·  Feb 1, 2026
Pending Review
$962.20
ERA_CIGNA_20260115.835
Cigna Health  ·  Jan 15, 2026
Processed
ERA_BCBS_20260328.835
BlueCross BlueShield  ·  Received March 28, 2026
BlueCross BlueShield of CA
00192-BCBS-CA
March 28, 2026
EFT-290483817
1234567890
$4,820.15
Claim-Level Breakdown
Claim ID Patient Billed Paid Adjust. CARC RARC
CLM-2026-08841 Sarah Johnson $420.00 $385.50 $34.50 2Coinsurance N130
CLM-2026-08792 Michael Torres $310.00 $310.00 $0.00 — MA13
CLM-2026-08744 Eleanor Vasquez $680.00 $544.00 $136.00 45Over UCR N657
CLM-2026-08701 Robert Nguyen $125.00 $0.00 $125.00 97Bundled M144
CLM-2026-08655 Diana Pham $890.00 $835.75 $54.25 1Deductible N30
CLM-2026-08610 James Walker $540.00 $540.00 $0.00 — MA13
CLM-2026-08580 Anita Rodriguez $275.00 $275.00 $0.00 — —
CLM-2026-08521 Thomas Lee $1,100.00 $929.90 $170.10 2Coinsurance 1Deductible N115