Denial code PI-24

What does Denial code PI-24 mean on a medical bill?

PI-24 means the plan is treating this care as already covered by a monthly arrangement it pays for, the kind managed care plans use, instead of paying the claim line by line. PI stands for payer initiated, the group used when the plan makes the adjustment on its own rather than under the provider's contract. For patients it is often a sign the claim went to the wrong place, since it commonly appears when a claim is sent to an original public program while you are enrolled in a managed care version of it.

What should I watch out for with Denial code PI-24?

• Give the billing office the card for the managed care plan you are actually enrolled in
• Ask the provider to refile the claim with the plan printed on your current card
• Ask your plan to confirm which arrangement covered you on the date of service before you pay