Denial code PR-27

What does Denial code PR-27 mean on a medical bill?

PR-27 means the plan looked at the claim and found its coverage had already ended by the date of the care, so the amount goes to you. That points at eligibility dates rather than at the care itself. It shows up after a job change, after a plan switch at the turn of a year, or when a card gets used past the last day it was good for. It also shows up when the dates in the plan's system are simply wrong, which is why comparing dates comes before paying.

What should I watch out for with Denial code PR-27?

• Ask your plan for the exact start and end dates it has on file for your coverage
• Send the billing office the card for the plan you actually had on the date of service
• Ask your employer or the plan to correct the end date when their record disagrees with yours