835 Reporting a CAS*CO*97 when claims deny at the header level, TR 32470

July 16, 2013

Recently, there was an issue identified where the 835 was reporting a generic claim adjustment reason in the CASCO97 segment of the 835 when the claim was denied at the header level.

This issue has now been corrected. Claims that deny at the header level will be reported with a more appropriate claim adjustment reason group and code based on the deny edit that it currently does when claims deny at the service line level.