All denial codes

CARC · PR group

PR-1

Deductible amount

Patient responsibility; billable to the patient

What it means
The dollars are the patient's unmet deductible, not a denial.
Likely cause
January and February sessions on high-deductible plans.
How to fix it
Verify deductible status before the session, collect at time of service, and reconcile PR-1 balances against patient payments monthly.
Revenue impact
Collectible revenue that quietly becomes bad debt after 90 days.
  • patient responsibility
  • deductible
  • collections

Related codes

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