835 ERA Reports: Claim adjustment reason and remittance advice remark descriptions
Mar 19, 2025
The 835 ERA Report API retrieves 835 Electronic Remittance Advice (ERA) transactions from Stedi in developer-friendly JSON. The ERA data now contains full Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) descriptions, making it easier to interpret the payer’s response.
CARC codes describe why a claim or service line was paid differently than it was billed. Now, adjustments objects for both the claim and specific service lines contain an adjustmentReason
property with the full code description. The following example shows the adjustmentReason1
property within the transactions.detailInfo.paymentInfo.serviceLines.serviceAdjustments
object.
"serviceAdjustments": [
{
"adjustmentAmount1": "21",
"adjustmentReasonCode1": "131",
"adjustmentReason1": "Claim specific negotiated discount."
"claimAdjustmentGroupCode": "CO",
"claimAdjustmentGroupCodeValue": "Contractual Obligation"
}
]
RARC codes provide additional explanations for adjustments or convey information about remittance processing. Now, transactions.detailInfo.paymentInfo.claimAdjustments.serviceLines.healthCareCheckRemarkCodes
objects contain an additional remark
property with the full code description.
"healthCareCheckRemarkCodes": [
{
"codeListQualifierCode": "HE",
"codeListQualifierCodeValue": "Claim Payment Remark Codes",
"remarkCode": "M30",
"remark": "Missing pathology report."
}
]
The 835 ERA Report API retrieves 835 Electronic Remittance Advice (ERA) transactions from Stedi in developer-friendly JSON. The ERA data now contains full Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) descriptions, making it easier to interpret the payer’s response.
CARC codes describe why a claim or service line was paid differently than it was billed. Now, adjustments objects for both the claim and specific service lines contain an adjustmentReason
property with the full code description. The following example shows the adjustmentReason1
property within the transactions.detailInfo.paymentInfo.serviceLines.serviceAdjustments
object.
"serviceAdjustments": [
{
"adjustmentAmount1": "21",
"adjustmentReasonCode1": "131",
"adjustmentReason1": "Claim specific negotiated discount."
"claimAdjustmentGroupCode": "CO",
"claimAdjustmentGroupCodeValue": "Contractual Obligation"
}
]
RARC codes provide additional explanations for adjustments or convey information about remittance processing. Now, transactions.detailInfo.paymentInfo.claimAdjustments.serviceLines.healthCareCheckRemarkCodes
objects contain an additional remark
property with the full code description.
"healthCareCheckRemarkCodes": [
{
"codeListQualifierCode": "HE",
"codeListQualifierCodeValue": "Claim Payment Remark Codes",
"remarkCode": "M30",
"remark": "Missing pathology report."
}
]
Changelog
Changelog
View Stedi's full changelog.
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Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.
Backed by
Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.
Backed by
Stedi is a registered trademark of Stedi, Inc. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.