1) 835 Tab

The ClaimCheck 835 tab allows you to view an 835 or a Scanned EOB for this accession, if any.

 

Example of an 835:

 

Click on the 835 Print View link to download and view the 835 for this accession.

Click on the Scanned EOB link to view a scanned Explanation of Benefits for this accession.

An 835 is an EOB, or Explanation of Benefits, coming back from a payer indicating payments. If a patient goes to the doctor, then the patient will get a letter from their payer showing what the doctor charged, what the payer paid and the amount for which the patient is responsible.

From Wikipedia, a definition of the 835:

An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation. It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. The explanations include the denial codes and the descriptions, which present at the bottom of ERA. ERA are provided by plans to Providers. In the United States the industry standard ERA is HIPAA X12N 835 (HIPAA = Health Insurance Portability and Accountability Act; X12N = insurance subcommittees of ASC X12; 835 is the specific code number for ERA), which is sent from insurer to provider either directly or via a bank.

Wikipedia contributors, "Electronic remittance advice," Wikipedia, The Free Encyclopedia, https://en.wikipedia.org/w/index.php?title=Electronic_remittance_advice&oldid=705399277 (accessed April 24, 2017).

 

 

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Version 6.0, Release 1
Reference Manual
Prepared by Rhodes Group
September 2017