RAS Reason Adjustment
To supply Claim 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
Monetary amount
RAS01 is the amount of adjustment.
Code identifying the general category of payment adjustment
Code identifying the detailed reason the adjustment was made
Code identifying a specific industry code list
P0203: If either C058-02 or C058-03 is present, then the other is required
C05802 qualifies C05803, C05804, C05805, C05806 and C05807.
Code indicating a code from a specific industry code list
Code indicating a code from a specific industry code list
C0403: If C058-04 is present, then C058-03 is required
Code indicating a code from a specific industry code list
C0504: If C058-05 is present, then C058-04 is required
Code indicating a code from a specific industry code list
C0605: If C058-06 is present, then C058-05 is required
Code indicating a code from a specific industry code list
C0706: If C058-07 is present, then C058-06 is required
Numeric value of quantity
RAS04 is the units of service being adjusted.