Denial code PR-2

What does Denial code PR-2 mean on a medical bill?

PR-2 is your coinsurance: the share of the allowed amount the plan says is yours once the deductible is met. It is a slice of the discounted price the plan recognizes, not a slice of the provider's original charge, and that difference is where these bills usually go wrong. The PR letters mean it belongs on your statement. Check it against your plan documents for the network the provider was actually in, because the share for in-network and out-of-network care is set separately.

What should I watch out for with Denial code PR-2?

• Check that the coinsurance was figured from the allowed amount rather than from the full charge
• Ask your plan which network level it used for this claim and whether that matches the provider
• Compare the PR-2 line against the balance on the provider's bill before sending any payment