Medicare Claims Processing Manual (Pub. 100-04), Ch. 22 § 40
Electronic Remittance Advice - ERA or ASC X12 835
40 - Electronic Remittance Advice - ERA or ASC X12 835
(Rev. 10236, Issued: 07-31-2020, Effective: 08-31-2020, Implementation: 08-31-2020)
Electronic Remittance Advice (ERA) transactions must be produced in the current
HIPAA compliant ASC X12 835 version /5010. Directions for version updates are
posted when necessary in CMS Change Request (CR) instructions issued by CMS. Refer
to the official Washington Publishing Company website for implementation guides,
record formats, and data dictionaries for the ASC X12 835
Shared systems maintainers must provide appropriate provider file structures and
switching mechanisms so that MACs can select and generate the ASC X12 835 and/or
the automated clearing house (ACH) format when electronic funds transfer (EFT)
applies. See the implementation guides for further information on the abbreviated ASC
X12 835 and use of the ASC X12 835 for EFT.
Changes to content and format of ERAs may not be made by individual MACs. Changes
will be made only by shared system maintainers, and then, only as directed by CMS.