CA1 Claim Adjudication

To specify the adjudication codes for a claim service item

Position: CA1-01 · Element: 1353 · Name: Payment Status Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 1 · Repeat: -

Code indicating the result of insurance claim payment processing by another payor

Position: CA1-02 · Element: 1034 · Name: Claim Adjustment Reason Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 5 · Repeat: -

Code identifying the detailed reason the adjustment was made.

Position: CA1-03 · Element: 1034 · Name: Claim Adjustment Reason Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 5 · Repeat: -

Code identifying the detailed reason the adjustment was made.

Position: CA1-04 · Element: 1034 · Name: Claim Adjustment Reason Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 5 · Repeat: -

Code identifying the detailed reason the adjustment was made.