Denial Code PR-2: Description, Meaning and How to Fix It
This amount is the patient's coinsurance and is their responsibility.
Official description
Coinsurance amount.
Common cause
The plan requires the patient to pay a percentage of the allowed amount.
How to fix it
Bill the patient for the coinsurance. Confirm coinsurance at eligibility to estimate patient cost in advance.
Related denial codes
- PR-1: This amount is applied to the patient's deductible and is the patient's responsibility.
- PR-3: This amount is the patient's copay and is their responsibility.
- CO-45: The amount billed is higher than the payer's contracted (allowed) rate. The difference is a contractual write-off, not a patient balance.
- CO-16: The claim is missing required information or has an error. It is almost always paired with a RARC that names the specific missing field.
- CO-97: This service is bundled into another service that was already paid, so it is not paid separately.
- CO-18: The payer received this exact claim/service already.