Remittance Detail View

The Remittance Detail View provides a clearinghouse-style, human-readable rendering of 835 Health Care Claim Payment/Advice files. Every segment is decoded into plain-language labels with full code descriptions — no EDI knowledge required.

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Overview

When you receive an 835 remittance file, the raw EDI is dense and hard to read. The Remittance Detail View translates the entire file into a structured document that anyone on your team can understand — from billing staff to office managers.

Feature	Free Tier	Pro Tier
View in-app	✅	✅
Print / Save as PDF	❌	✅

How it's different from the Payment Summary Report

The Payment Summary Report is an accounting-focused table of claims, payments, and totals. The Remittance Detail View is a full element-level decode — it shows every field in the BPR, TRN, payer/payee addresses, bank routing details, and per-claim data with human-readable labels. Think of it as the EDI equivalent of an EOB statement.

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How to Access

1. Upload an 835 file at app.edipaisan.com
2. Click the Export dropdown in the toolbar
3. Under 835 Payment Data, click Remittance Detail View
4. The modal opens with a loading spinner while the file is processed
5. Once loaded, scroll through the full decoded report

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What's Included

The report is organized into clearly labeled sections, each corresponding to a portion of the 835 transaction.

General Information (BPR)

The BPR segment is decoded into readable financial details:

General Information
     Transaction Handling Code:  Remittance Information Only
     Monetary Amount:            $425,388.99
     Credit/Debit Flag Code:     Credit
     Payment Method Code:        Automated Clearing House (ACH)
     Payment Format Code:        Cash Concentration/Disbursement plus Addenda (CCD+)
     (DFI) ID Number Qualifier:  ABA Transit Routing Number Including Check Digits (9 digits)
     (DFI) Identification Number: 211070175
     Account Number Qualifier:   Demand Deposit
     Account Number:             1133204365
     Date:                       01/20/2026

Every code is translated — ACH becomes "Automated Clearing House (ACH)", DA becomes "Demand Deposit", etc.

Trace Information (TRN)

Check/EFT trace details for payment matching:

Trace
     Trace Type Code:              Current Transaction Trace Numbers
     Reference Identification:     7287000
     Originating Company Identifier: 1043324848

Payer Information (N1*PR)

Full payer identity with address and contact info:

Payer
     Carelon Behavioral Health Strategies, LLC
     (Centers for Medicare and Medicaid Services Plan ID: 005)
     500 United Park Drive
     Woburn, MA 01800

     Reference Information:
          Payer Identification Number: 005

     Contact Information:
          Contact:   Claims Hotline
          Telephone: 8880000000

Payee Information (N1*PE)

Provider/payee details with NPI and address:

Payee
     Habit Opco LLC
     (Centers for Medicare and Medicaid Services National Provider Identifier: 1023175072)
     32 Hazeltine Street
     Providence, RI 02900

     Reference Information:
          Federal Taxpayer's Identification Number: 205054049

Claim Level Data (CLP)

Each claim is rendered as a card with full details:

• Claim ID and payer control number
• Status with human-readable description (e.g., "1 - Processed as Primary")
• Billed, Paid, and Patient Responsibility amounts
• Patient name and member ID
• Statement dates

Claim Adjustments (CAS)

Adjustment codes are fully decoded:

Group	Reason Code	Description	Amount
CO (Contractual Obligations)	45	Charge exceeds fee schedule/maximum allowable	$150.00
PR (Patient Responsibility)	1	Deductible amount	$75.00
OA (Other Adjustments)	94	Processed in excess of charges	-$200.00

Negative amounts (like OA-94) are displayed clearly — this is how payers add money back, which can cause the paid amount to exceed the billed amount.

Service Lines (SVC)

Per-service payment detail with procedure codes:

Line 1
     Procedure Code:       99213
     Line Charge Amount:   $150.00
     Line Payment Amount:  $120.00
     Units Paid:           1
          CO-45 Charge exceeds fee schedule: $30.00

Provider-Level Adjustments (PLB)

If the 835 includes provider-level balance transfers (interest, recoupments, etc.), they appear at the bottom of the report.

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Multi-Transaction Files

If the 835 contains multiple ST/SE envelopes (multiple checks), each transaction renders as a separate section with its own header, claims, and totals. A clear separator divides each transaction.

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Printing and Exporting

Free Tier

• Full in-app preview with all data visible
• "PREVIEW ONLY" watermark
• Copy and select disabled
• Print button prompts upgrade

Pro Tier

• Full access — no watermark, no restrictions
• Click Print / Save as PDF to open browser print dialog
• Use "Save as PDF" in your browser's print dialog for a downloadable file
• Report is print-optimized with page breaks between claims

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Large File Handling

For files with many claims, EDI Paisan shows a loading spinner while processing. The modal opens immediately so you know the system is working. Processing time depends on file size:

Claims	Typical Load Time
1-50	Instant
50-500	1-3 seconds
500+	3-10 seconds

All claims render fully — there is no pagination or truncation.

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Use Cases

Use Case	How It Helps
Payment posting	See exactly what was paid per claim and service line
Denial investigation	Adjustment codes are decoded — no CARC lookup needed
Patient billing	Share human-readable payment details with patients
Audit support	Print full remittance detail for compliance records
Staff training	Show billers what each 835 field means
Vendor communication	Export a readable version to send to payer reps

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Example: Spotting Anomalies

The detail view makes it easy to spot unusual patterns. For example, if a claim's paid amount exceeds the billed amount, you'll see:

Claim Level Data:
     Total Charge Amount:   $150.00
     Claim Payment Amount:  $300.00

Claim Adjustments:
     CO (Contractual Obligations) | 45 | Charge exceeds fee schedule | $50.00
     OA (Other Adjustments) | 94 | Processed in excess of charges | -$200.00

The negative OA-94 adjustment is the culprit — the payer is paying $200 in excess of charges. This can happen with prompt-pay interest, retroactive fee schedule corrections, or payer system errors.

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Related Documentation

• 835 Remittance Reference — Technical 835 loop and segment structure
• Export Options — All available export formats
• Payment Summary Report — Accounting-focused claims table (PDF)
• Adjustment Code Reference — Full CARC/RARC code lookups
• Pro Tier — Print/PDF export included