CAS Claims Adjustment
CAS Claims Adjustment
To supply adjustment reason codes and amounts as needed for an entire claim or for a particular service within the claim being paid
Position
Element
Name
Type
Requirement
Min
Max
Repeat
CAS-01
Claim Adjustment Group Code
Identifier (ID)
Mandatory
1
2
-
Code identifying the general category of payment adjustment.
CAS-02
Claim Adjustment Reason Code
Identifier (ID)
Mandatory
1
3
-
Code identifying the detailed reason the adjustment was made.
CAS-03
Monetary Amount
Decimal number (R)
Mandatory
1
15
-
Monetary amount.
CAS03 is the amount of adjustment.
CAS-04
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
CAS04 is the units of service being adjusted.