Transaction TypeIdentify EDI transaction type: 835 (Payment/Remitt...
Sender IDExtract the sender/submitter ID...
Receiver IDExtract the receiver ID...
Transaction DateExtract the transaction date. Return in YYYY-MM-DD...
Claim NumberExtract the claim number or patient account number...
Patient NameExtract the patient name...
Patient IDExtract the patient/member ID...
Provider NameExtract the provider name...
Provider NPIExtract the provider NPI number...
Service DateExtract the date of service. Return in YYYY-MM-DD ...
Procedure CodesList all CPT/HCPCS procedure codes...
Diagnosis CodesList all ICD diagnosis codes...
Billed AmountExtract total billed/charged amount...
Paid AmountExtract total paid amount...
Adjustment CodesList any adjustment reason codes (CARC/RARC)...