skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. Information for Medicare beneficiaries is only available on the medicare.gov website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 11/8/2018 Location: FL, PR, USVI Business: Part A, Part B

Find RAs on SPOT

Remittance advice information is now available electronically through SPOT. First Coast has this step-by-step guide to help you establish your SPOT account.

Electronic remittance advice -- what you need to know

Background

What is Electronic Remittance Advice (ERA)?
ERA is the electronic version of the standard paper remittances (SPR) that notify providers, billers, and suppliers of their claim payments and adjustments. These electronic notifications provide the same information that is found on the SPR, as well as additional information, including additional data and administrative efficiencies, not available in an SPR.
How is ERA generated, and how can the information be viewed?
The ERA is produced in the Health Insurance Portability and Accountability Act of 1996 - Compliant Accredited Standards Committee (ASC) X12N 835 format, often referred to as Transaction 835. This file is not easily readable and must be converted to a readable format. The Centers for Medicare & Medicaid Services (CMS) provides free software for you so that you can download, view, and print duplicate copies of Part A or B electronic remittances whenever you wish. If you currently submit your claims electronically and are not set up for electronic remittance, please complete the Electronic Data Interchange (EDI) Enrollment form pdf file prior to downloading the free software.
For Part A: PC-Print
For Part B: Medicare Remit Easy Print (MREP)

Benefits of ERA

What are the benefits of ERA?
Using the ERA saves time and increases productivity by providing electronic payment adjustment information that is portable, reusable, retrievable, and storable. The ERA can be exchanged between partners with much greater ease than a paper remittance.
Here are a few benefits and advantages to receiving ERA:
Faster account reconciliation through electronic posting;
Reduce costs associated with:
Storage and maintenance of SPRs
Staff time to review and file SPRs
Lower operating costs;
More detailed information; and
Free software.

Resources

Health Care Payment and Remittance Advice external link: Provides information on ERA and companion documents for assistance with receiving the Transaction 835.
Medicare Claims Processing Manual, chapter 22, section 40 external pdf file: Provides detailed information on the background and process of generating the Transaction 835.
PC-Print: Free software provided by CMS for Part A providers
MREP: Free software provided by CMS for Part B providers
Electronic Data Interchange (EDI) Enrollment form pdf file: This is the form for Medicare providers who want to apply for or revise existing information pertaining to ERA.
Contact the EDI department at First Coast Service Options Inc. (First Coast) for further information on your situation and the availability of ERA for your office.
To assist in the transition from SPR to ERA, First Coast will allow you to receive both (SPR and ERA) for a period of time. This will ensure there are no interruptions in posting of payments for processed claims during the transition period.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.