Section title: Requests for Interpretation
RFI #
1455
835 AdjRsn 78
Description

In testing with Edifecs, we are getting an error when the adjustment quantity is given for reason codes other than 78 (non-covered days/room charge adjustment). TR3 states CAS04/07/10/13/16/19 are required if CAS02/05/08/11/14/17/ is non-covered day. Is quantity in the CAS not allowed for any other reason than non-covered day?

RFI Response

This issue is explicitly addressed in guide 005010X221. The situational rule on the 2100 CAS04 element reads "Required when the CAS02 adjustment reason code is related to non-covered days. If not required by this implementation guide, do not send." A similar note applies to all other Quantity elements within the 2100 loop CAS segment.

Therefore, the CAS quantity within the 2100 loop (position 0200) is restricted to only be used when related to non-covered days. The quantity is not allowed at that location for any other reasons.

DOCUMENT ID
004010X091