Skip to Main Content
Providers

Medica Administrative Manual  >  Billing and Reimbursement > Provider Remittance Advice/Electronic Remittance Advice

Provider Remittance Advice/Electronic Remittance Advice

A Provider Remittance Advice (PRA) is a summary of reimbursements made on all claims submitted.   

An Electronic Remittance Advice (ERA) is an electronic data interchange (EDI) version of a medical insurance explanation of payment. 

The PRA/ERA is a member-by-member accounting of the claim amount billed, the amount disallowed (if any), any copayments, coinsurance or deductible amounts and reserves as well as the amount reimbursed. Claims adjustment reason codes (CARCs) and remittance advice remark codes (RARCs) are supplied to provide additional information on how the claim was processed.  These codes are explained at the end of each PRA.

Members are listed alphabetically by last name and identified by the provider's own in-house patient account number if this information was included on the original claim at submission.

Additional Resources

If you have questions regarding a Provider Remittance Advice (PRA), please contact the Provider Service Center at 1-800-458-5512.


REV 5/2022

Date: 1/28/2023 5:58:08 PM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01