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: CAS-01 · Element: 1033 · Name: Claim Adjustment Group Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 2 · Repeat: -

Code identifying the general category of payment adjustment.

Position: CAS-02 · Element: 1034 · Name: Claim Adjustment Reason Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 3 · Repeat: -

Code identifying the detailed reason the adjustment was made.

Position: CAS-03 · Element: 782 · Name: Monetary Amount · Type: Decimal number (R) · Requirement: Mandatory · Min: 1 · Max: 15 · Repeat: -

Monetary amount.

CAS03 is the amount of adjustment.

Position: CAS-04 · Element: 380 · Name: Quantity · Type: Decimal number (R) · Requirement: Optional · Min: 1 · Max: 15 · Repeat: -

Numeric value of quantity.

CAS04 is the units of service being adjusted.