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
5
-
Code identifying the detailed reason the adjustment was made
CAS-03
Monetary Amount
Decimal number (R)
Mandatory
1
18
-
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.
CAS-05
Claim Adjustment Reason Code
Identifier (ID)
Conditional
1
5
-
Code identifying the detailed reason the adjustment was made
CAS-06
Monetary Amount
Decimal number (R)
Conditional
1
18
-
Monetary amount
CAS06 is the amount of the adjustment.
CAS-07
Quantity
Decimal number (R)
Conditional
1
15
-
Numeric value of quantity
CAS07 is the units of service being adjusted.
CAS-08
Claim Adjustment Reason Code
Identifier (ID)
Conditional
1
5
-
Code identifying the detailed reason the adjustment was made
CAS-09
Monetary Amount
Decimal number (R)
Conditional
1
18
-
Monetary amount
CAS09 is the amount of the adjustment.
CAS-10
Quantity
Decimal number (R)
Conditional
1
15
-
Numeric value of quantity
CAS10 is the units of service being adjusted.
CAS-11
Claim Adjustment Reason Code
Identifier (ID)
Conditional
1
5
-
Code identifying the detailed reason the adjustment was made
CAS-12
Monetary Amount
Decimal number (R)
Conditional
1
18
-
Monetary amount
CAS12 is the amount of the adjustment.
CAS-13
Quantity
Decimal number (R)
Conditional
1
15
-
Numeric value of quantity
CAS13 is the units of service being adjusted.
CAS-14
Claim Adjustment Reason Code
Identifier (ID)
Conditional
1
5
-
Code identifying the detailed reason the adjustment was made
CAS-15
Monetary Amount
Decimal number (R)
Conditional
1
18
-
Monetary amount
CAS15 is the amount of the adjustment.
CAS-16
Quantity
Decimal number (R)
Conditional
1
15
-
Numeric value of quantity
CAS16 is the units of service being adjusted.
CAS-17
Claim Adjustment Reason Code
Identifier (ID)
Conditional
1
5
-
Code identifying the detailed reason the adjustment was made
CAS-18
Monetary Amount
Decimal number (R)
Conditional
1
18
-
Monetary amount
CAS18 is the amount of the adjustment.
CAS-19
Quantity
Decimal number (R)
Conditional
1
15
-
Numeric value of quantity
CAS19 is the units of service being adjusted.