X12 835 Remittance Advice

1. 835 structure

   BPR payment info, TRN trace number, N1 payer and payee, and 2100 claim payment loops.

2. Claim payment loop

   CLP claim status, charged and paid amounts, patient responsibility, claim filing indicator and payer claim control number.

3. Service payment loop

   SVC line adjudication, adjudicated vs submitted procedure code, units and DTM service dates.

4. Adjustments with CAS

   CAS group codes CO, PR, OA, PI and CR with CARC reason codes and amounts.

5. Remark codes

   RARC supplemental codes in LQ and MIA/MOA segments.

6. Provider level adjustments

   PLB segments for interest, recoupment and withholds, and how remittances balance.

7. Payment and EFT reconciliation

   Matching 835 TRN to the EFT trace and balancing claim totals to BPR.

Each section links to the official page. Titles and summaries by Extra Credit; the docs belong to their authors.

• Price Transparency (Transparency in Coverage)
• SMART on FHIR (App Launch)
• TEFCA
• UB-04 (CMS-1450) Claim Form
• US Core Implementation Guide
• X12 270/271 Eligibility
• X12 276/277 Claim Status
• X12 278 Prior Authorization
• X12 820 Payment and Remittance
• X12 834 Benefit Enrollment
• X12 837I Institutional Claim
• X12 837P Professional Claim