Import 835 files. Reconcile in minutes.

Upload an Electronic Remittance Advice file, review what the payer paid and adjusted, and apply payments to your claims — all from one screen.

What is an ERA?

An Electronic Remittance Advice (ERA), also called an 835 file, is the electronic version of the Explanation of Benefits (EOB) you get from an insurance company.

It tells you three things:

How much they paid

The allowed amount the payer approved and remitted for each claim.

What adjustments were made

Contractual write-offs, denials, and other adjustments with standard reason codes.

What the patient owes

Deductible, coinsurance, and copay amounts that remain the patient's responsibility.

Import Process

From file upload to reconciled invoices in eight straightforward steps.

1

Receive your .edi file

Your insurance payer delivers the 835 file through your clearinghouse portal or via email after processing your claims.

2

Click "Import 835 ERA"

From the billing dashboard, click the Import 835 ERA button to open the upload dialog.

3

Upload the file

Drag and drop or browse to select your ERA file. Accepted formats: .edi, .835, or .txt.

4

Click "Parse ERA File"

The system reads the EDI segments and extracts all payment and adjustment data from the file.

5

Review the summary

See the full payment summary at a glance: payer name, payer ID, payment date, payment method, check/trace number, total payment amount, claim count, and total patient responsibility.

6

Review individual claims

Drill into each claim line: patient name, claim number, claim status (paid, denied, adjusted), amount paid vs. amount charged, and any adjustment reason codes.

7

Click "Apply ERA Payments"

The system matches each claim in the ERA to your submitted claims using control numbers and automatically updates the corresponding invoice statuses.

8

Done

Your invoices now show as Paid with full ERA payment details attached — check number, payment date, adjustment codes, and patient responsibility.

Auto-Matching

Claims matched automatically

When you submit a claim through AveeCare, the system assigns a unique control number to that claim. When the payer sends back an 835 ERA file, it includes that same control number alongside its payment decision.

AveeCare reads the control numbers from the ERA and matches each one to the original claim in your system. This is how it knows which invoice to update, what amount was paid, and what adjustments to record — without you having to look anything up manually.

When a match is found

The invoice is updated automatically with the payment amount, adjustment codes, patient responsibility, and payment date. The status changes to reflect the payer's decision (paid, partially paid, or denied).

When a match is not found

The claim line is flagged as unmatched in the ERA review screen. This can happen if the claim was submitted through a different system, the control number was modified by the clearinghouse, or the claim does not exist in AveeCare. You can manually link the unmatched line to an existing claim or dismiss it.

What You See After Import

Once an ERA is applied, each matched invoice shows detailed payment information.

Payment amounts per claim
Adjustment codes and reasons (CO, PR, OA, etc.)
Patient responsibility amounts
Deductible and coinsurance breakdowns
Check / trace numbers linked to each claim
Payment dates and processing timestamps

Connected to a Clearinghouse?

If your AveeCare account is connected to a clearinghouse via SFTP, you do not need to manually download 835 files. Instead, click "Check for Responses" on the billing dashboard to automatically poll your clearinghouse for any new 835 ERA files, 277 claim status responses, and 271 eligibility responses.

Any new ERA files are pulled in and queued for your review — same import flow, without the manual download step.

AveeCare integrates with Availity, Trizetto, Office Ally, Optum, Waystar, and other SFTP-compatible clearinghouses.

Insurance ClaimsPre-Billing QA

See ERA processing in action

Try the billing module in our interactive demo — no account required, no sales call needed.

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Frequently asked questions

An Electronic Remittance Advice (ERA), also called an 835 file, is the electronic version of the Explanation of Benefits from an insurance company. It tells you how much the payer paid, what adjustments were made with standard reason codes, and what the patient still owes in deductible, coinsurance, and copay.
AveeCare accepts .edi, .835, and .txt files. You drag and drop or browse to select the file, click Parse ERA File, and the system reads the EDI segments and extracts all payment and adjustment data.
When you submit a claim through AveeCare the system assigns it a unique control number. The payer returns that same control number in the 835. AveeCare reads the control numbers from the ERA and matches each one to the original claim, then updates the invoice with the payment amount, adjustment codes, patient responsibility, and payment date automatically.
The claim line is flagged as unmatched in the ERA review screen. That can happen if the claim was submitted through a different system, the control number was modified by the clearinghouse, or the claim does not exist in AveeCare. You can manually link the unmatched line to an existing claim or dismiss it.
Not if your account is connected to a clearinghouse over SFTP. Click Check for Responses on the billing dashboard and AveeCare polls for new 835 ERA files, 277 claim status responses, and 271 eligibility responses, then queues them for review through the same import flow.