Electronic Remittance Advice (ERA)

The EDI 835 transaction set, or Electronic Remittance Advice (ERA) is part of the HIPAA standard transactions that are designed to improve claims management revenue cycle for providers. It is part of the ASC X12 835 Health Care Claim Payment/Remittance Advice. If you wish to enroll in 835 transactions, choose a form from the enrollment section below.

Network Providers should contact Employees Group Insurance Division (EGID) Network Management at 1-405-717-8921 or toll-free 1-888-835-6919, fax 1-405-717-8977, or email EGID.DOCNetworkManagement@omes.ok.gov, or write to 3545 NW 58th St, Ste 600, Oklahoma City, OK 73112 to check the status of their ERA enrollment. Please allow up to 14 business days for processing prior to checking status. Network Providers should use this form to sign up for EFT claim payments which are sent directly to their bank account. If they change tax identification numbers (TIN) or NPI Numbers, they must also complete and submit this form with their change request.

Non-Network providers should contact our health and dental claims administrator toll-free 1-800-944-7938 to check the status of their ERA enrollment.



Missing an ERA payment?


A late or missing Electronic Remittance Advice (ERA) 835 transaction is defined as a maximum elapsed time of four business days following the receipt of the EFT payment. If the provider is missing an ERA, the provider should first contact the clearinghouse to ensure they have received all 835 transactions.

If the clearinghouse cannot trace the ERA, the provider should have the following available: their provider ID, the EFT effective date, EFT payment amount, and the CCD+ information on the EFT payment for the missing ERA. The provider should then call our health and dental claims administrator at 1-405-416-1800 or toll free 1-800-782-5218; TDD 1-405-416-1525; toll free TDD 1-800-941-2160.

The federally mandated CORE requirements for the Phase III CORE EFT & ERA Operating Rule Set specify that a health plan must release for transmission to the healthcare provider the v5010 X12 835 (ERA) corresponding to the Healthcare EFT Standards:

  • No sooner than three business days based on the time zone of the health plan prior to the CCD+ Effective Entry Date
  • No later than three business days after the CCD+ Effective Entry Date.

The CCD+ Effective Entry Date is a valid banking day. NOTE: Provider must contact its financial institution to arrange for the delivery of the CORE-required Minimum CCD+ data elements needed for reassociation of the payment to the ERA.

The following process should be followed by providers when researching and resolving late or missing EFTs. Late or missing is defined as a maximum elapsed time of four business days following the receipt of the ERA.

  • Provider should first contact their bank to inquire about the EFT transaction.
  • If the provider’s bank cannot trace the EFT, the provider should have available their provider id and the following data from the corresponding ERA: the EFT effective date, EFT payment amount, and the TRN segment information, then call HP Administrative Services at 1-405-416-1800 to request that HP research it (or toll free 1-800-782-5218; TDD 1-405-416-1525; toll free TDD 1-800-941-2160)
  • Customer Service will first verify the bank account number and the ABA routing number that the claim payment was sent to with the provider
    • If the numbers do not match, HP Agents will, after verifying that the claim has been paid to the correct practice location as billed;
      • Send the provider the appropriate EFT Enrollment Form (If Out-of-Network)
      • Or provide the web address where the forms are available (If In-Network)
    • If the numbers match, HP Agents will;
      • After verifying that the claim has been paid to the correct practice location as billed; take the provider’s name, provider id, contact information, EFT effective date, EFT payment amount, and the TRN segment information from the ERA and submit a request to research/resolve the missing EFT
      • Upon receiving the resolution from the technical team, call the provider back with our findings or a status (Target: within 2 business days)