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Multiple Choice

ERA stands for Electronic Remittance Advice. What information does it contain?

Electronic Remittance Advice is the payer’s electronic explanation of how a claim was processed. It shows the payments made on the claim, any adjustments or denials with the reason codes, and the patient’s remaining financial responsibility after the insurer’s payment. This allows the provider to post payments accurately, understand why a claim wasn’t paid in full, and bill the patient for coinsurance, deductible, or copays. Items like appointment schedules, clinical notes, or treatment protocols aren’t part of an ERA, so those don’t fit.

Electronic Remittance Advice is the payer’s electronic explanation of how a claim was processed. It shows the payments made on the claim, any adjustments or denials with the reason codes, and the patient’s remaining financial responsibility after the insurer’s payment. This allows the provider to post payments accurately, understand why a claim wasn’t paid in full, and bill the patient for coinsurance, deductible, or copays. Items like appointment schedules, clinical notes, or treatment protocols aren’t part of an ERA, so those don’t fit.