OwedInsurance appeals

Denial codes

PR-1

Applied to your deductible

The plan allowed the claim but you owe this amount toward your deductible. Not an error by itself.

Official meaning (X12 code 1): Deductible amount.

Who pays

PR-1. Patient responsibility: the plan says this part is yours to pay (deductible, copay, coinsurance, or a non-covered service).

What to do

  1. Check the amount against your plan's deductible and what you've already paid this year.
  2. Make sure the provider billed the allowed amount, not the full charge.

Not sure this applies to you?

Paste the full reason from your notice into the free Denial Decoder for your deadline and rights.

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General information, not legal or medical advice. Owed is a document-preparation and sending service, not a law firm.