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In the California medical implementation guide (page 52), there is only a CAS segment for the 2320 loop. Should the sender include the SBR segment before the CAS segment?

April 26, 2017California CAS guide Implementation loop medical page segment

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In the California medical implementation guide (page 52), there is only a CAS segment for the 2320 loop. Should the sender include the SBR segment before the CAS segment?

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The SBR segment is situational. If the CAS segment is utilized to report adjustment reason codes and adjustment amounts, then the SBR segment is required. If the CAS segment is not utilized to report adjustment reason codes and amounts then the SBR segment is not required.