To supply adjustment reason codes and amounts as needed for an entire claim or for a particular service within the claim being paid
Code identifying the general category of payment adjustment.
Code identifying the detailed reason the adjustment was made.
Monetary amount.
CAS03 is the amount of adjustment.
When the submitted charges are paid in full, the value for CAS03 should be zero.
Numeric value of quantity.
CAS04 is the units of service being adjusted.
Code identifying the detailed reason the adjustment was made.
Monetary amount.
CAS06 is the amount of the adjustment.
Numeric value of quantity.
CAS07 is the units of service being adjusted.
Code identifying the detailed reason the adjustment was made.
Monetary amount.
CAS09 is the amount of the adjustment.
Numeric value of quantity.
CAS10 is the units of service being adjusted.
Code identifying the detailed reason the adjustment was made.
Monetary amount.
CAS12 is the amount of the adjustment.
Numeric value of quantity.
CAS13 is the units of service being adjusted.
Code identifying the detailed reason the adjustment was made.
Monetary amount.
CAS15 is the amount of the adjustment.
Numeric value of quantity.
CAS16 is the units of service being adjusted.
Code identifying the detailed reason the adjustment was made.
Monetary amount.
CAS18 is the amount of the adjustment.
Numeric value of quantity.
CAS19 is the units of service being adjusted.
