Medicaid of WI wants the CAS segment per line item not on the claim level
For secondary claims, we need to have the CAS segment populated on each line of service where we have an AMT*D with an amount paid by the primary insurance. Eric's notes below will explain the need for that.
I spoke with Ben Kent about this and he said that as long as there is a loop or a field in the X12 standard that we utilize for the CAS field on each line of service, they should be able to send it without changing anything. He said that once we make the changes, they can look at test claims that we send to make sure it looks ok and will work to send on to payors. As a last resort, I asked him if we were to send the claims without an AMT*D field at all, if it would work. He said it should work that way as well technically, though they cannot guarantee that the payor wouldn't have an issue with that. If we have to go with the option to not include the AMT*D field, we will need to create an option to not send it in the Claim Setup for the DX2012 form.
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