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.
Receive your .edi file
Your insurance payer delivers the 835 file through your clearinghouse portal or via email after processing your claims.
Click "Import 835 ERA"
From the billing dashboard, click the Import 835 ERA button to open the upload dialog.
Upload the file
Drag and drop or browse to select your ERA file. Accepted formats: .edi, .835, or .txt.
Click "Parse ERA File"
The system reads the EDI segments and extracts all payment and adjustment data from the file.
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.
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.
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.
Done
Your invoices now show as Paid with full ERA payment details attached — check number, payment date, adjustment codes, and patient responsibility.
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.
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.
See ERA processing in action
Try the billing module in our interactive demo — no account required, no sales call needed.