What Is ERA in Medical Billing? And Why Is billrMD the Smart Choice?

Patricia Rosello • June 25, 2025

If your billing staff is constantly sorting through stacks of explanation of benefits (EOB), manually matching payments to claims, and chasing down denial reasons, the problem isn’t your team—it’s the outdated medical billing software they’re stuck using.


We’ve seen it time and again: practices that adopt electronic remittance advice (ERA) in medical billing processes see faster payments and fewer headaches. With modern practice management systems like billrMD, payments are delivered electronically, medical claim denials are flagged in real-time, and everything is connected directly to your system.


In this blog, we’ll explain what ERA is, why it’s essential to an efficient medical billing process, and how billrMD is the
best software for ERA integration.


Bring ERA Automation to Your Workflow


The Role of ERA in Medical Billing

ERA stands for electronic remittance advice, and it's essentially the digital version of a paper EOB that insurance companies send out after processing a claim. It’s your billing team’s way of getting a clear, itemized breakdown of what was paid, what wasn’t, and why.


An ERA typically includes:


  • Total amounts paid
  • Denied or adjusted claims
  • Reasons for medical claim denials
  • Patient responsibility amounts (e.g., deductibles, copays)


How Electronic Remittance Advice Supports Efficient Revenue Cycle Management

Every minute your staff spends manually processing claims is time that could be spent on higher-value tasks. With an ERA integration in place, your team can process payments more efficiently and reduce administrative tasks.


Here’s a simple walkthrough of how ERA fits into your financial operations:


  1. You submit a claim to the patient’s insurance company through your practice management system.

  2. The insurance company reviews and processes the claim based on the patient’s coverage and the services provided.

  3. Once processed, you receive two things:

  • Electronic Funds Transfer (EFT) – The actual payment is deposited directly into your bank account.
  • Electronic Remittance Advice (ERA) A digital report that explains how the claim was paid, adjusted, or denied.


When your practice management system is ERA-ready, like billrMD, the ERA syncs with the claim automatically, saving you time and ensuring accurate posting.


Key Benefits of Electronic Remittance Advice You Can’t Afford to Miss

Whether you're part of a small private office or a large healthcare organization, ERA in medical billing helps take the complexity out of claim reconciliation. It speeds up reimbursements, reduces manual work, and gives your team more control over your revenue cycle.


Here’s what you can expect when your practice management system is fully integrated with ERA functionalities:


Standardized Format

ERAs are delivered in a HIPAA-compliant ANSI X12 835 format, which means every payer follows the same digital structure. This eliminates the inconsistency of paper EOBs and manual data entry, reducing errors and improving communication between payers and your billing system.


Automated Payment Posting

ERA-enabled medical billing software automatically matches payments and posts them to the correct patient accounts. No more entering payment details line by line. It’s faster, more accurate, and significantly lowers the administrative burden on your staff.


Clear Payment Insights

Every ERA includes a breakdown of adjustments, medical claim denials, and payer codes, giving you complete visibility into how the payer handled and responded to each claim. It’s like having a real-time playbook of the payer’s decisions, helping your team respond faster and smarter.


Smooth Handling of Secondary Claims

When secondary insurance is involved, ERAs help keep the billing workflow moving without delays. They provide the necessary details to file secondary claims quickly and accurately, eliminating the need for follow-up calls or tedious paperwork review.


Why billrMD Is the Best Software for ERA Integration

An ERA-enabled medical billing software gets a thumbs up from a healthcare team for reducing manual work in the clinic.

While many practice management systems now support ERAs, only a few do it as seamlessly and intelligently as billrMD. From automated workflows to HIPAA-compliant billing tools, our software is built to reduce overhead and improve billing performance at every level.


With the billrMD practice management system, you can enjoy:


Seamless ERA and EFT in Medical Billing

billrMD offers fully integrated ERA and EFT functionality, meaning claim payments and remittance details are delivered directly into your medical billing software. There’s no need to download files, juggle between tools, or manually upload data. It’s a streamlined, real-time process that eliminates delays and human error.


Automated and Manual Payment Posting Options

billrMD gives you the freedom to choose how you work. You can use automated ERA posting to instantly apply payments with a click or take full control with our user-friendly batch entry page for manual posting and EOB adjustments.


Real-Time Denial Management

Catch denials early and act fast to protect your revenue. billrMD instantly flags medical claim denials and displays detailed CARC and RARC codes, giving your team the insight needed to take immediate, informed action. Faster denial handling means fewer delays, fewer write-offs, and more revenue recovered.


Powerful Payment Reporting and Analytics

Make smarter financial decisions with billrMD’s advanced reporting tools. Generate detailed payment reports, monitor trends, and gain insights into payment performance across payers and patient accounts—all in one place.


Scalability Across All Practice Sizes

From solo practices to multi-location groups, billrMD scales to meet your needs. Its cloud-based infrastructure is built for speed and stability, so high volumes never slow you down. The billrMD practice management system is intuitive for small teams and robust enough to handle large, complex billing operations.


Spend Less Time Posting Payments with billrMD’s Advanced ERA Integration

We know how frustrating medical billing can be when the systems aren’t working with you. Delays in posting, missed denials, and endless paperwork are more than annoying—they cost you money.


Electronic remittance advice is one of the smartest upgrades you can make to your billing process. When paired with a robust practice management system like billrMD, it becomes a driver for faster payments, fewer errors, and better control of your revenue.


If you’re tired of outdated workflows and want a billing system that just works, it’s time to see what billrMD can do. Book a free demo today and see how easy it is to bring ERA automation into your practice. 


See billrMD in Action


Frequently Asked Questions

  • Does billrMD support multiple clearinghouses for receiving electronic remittance advice files?

    Yes. billrMD is compatible with major clearinghouses like Availity and Data Dimensions, allowing you to centralize ERAs even if you're working with multiple payers or intermediaries.

  • Can I track secondary and tertiary claims through billrMD’s ERA dashboard?

    Yes. billrMD makes it easy to identify when a secondary or tertiary payer is needed and uses ERA data to streamline resubmissions or cross-over billing.

  • What happens if there’s a mismatch between an ERA and a claim?

    billrMD alerts you immediately to any discrepancies and provides tools to reconcile mismatches, resubmit claims, or apply adjustments.

  • What kind of reports can I generate from ERA data in billrMD?

    You can create detailed payment breakdowns by payer, date range, CPT code, adjustment category, medical claim denial reasons, and more—ideal for both operational tracking and revenue forecasting.

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