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2
PR - Patient ResponsibilityPatient Responsibility
Denial Code PR-2: Coinsurance Amount
What Does Code 2 Mean?
The amount applied as the patient's coinsurance responsibility after the deductible has been met.
Group Code PR (Patient Responsibility): The patient is responsible for this amount (deductible, copay, coinsurance, non-covered services).
Why Does This Happen?
Standard cost-sharing per the patient's benefit plan.
How to Resolve It
- 1Verify coinsurance percentage
- 2Bill the patient for their share
- 3Ensure coordination of benefits if secondary insurance exists