Typically, you would have to lower the seat elevation IF you are adding a topping/leveling layer (variable thickness asphalt) to mitigate the camber to meet the required roadway profile.
We typically wouldn't make any adjustments to the seat elevations, as we would only use prestressed beams with substantial camber on 1) A low speed roadway, where the vertical curvature of the roadway profile resulting from the camber is not a concern, or 2) where the camber fits the desired roadway profile, i.e. the designed roadway profile is crest vertical curve at the bridge.
If the project requires a limited amount of camber, the fabricator can usually limit it through the use of harped strands or delaying the release of the strands for a few days. Another option is to use a larger concrete section. Any of those will add to the cost of the girders.