EOB denial code PR-2: what it means

What it means

This is your coinsurance — the percentage share of the allowed amount you owe after your deductible is met (for example, 20% of the bill).

Patient Responsibility — an amount the patient owes, such as a deductible, copay, coinsurance, or non-covered service.

Official X12 description

“Coinsurance Amount”

Typical cause

The service was covered, and the plan paid its share; coinsurance is the patient's contractual percentage.

What to do next

1. 1Confirm the coinsurance percentage listed in your plan's Summary of Benefits and Coverage.
2. 2Verify the provider was in-network — out-of-network coinsurance is usually higher.
3. 3Check whether you have reached your out-of-pocket maximum, after which coinsurance should stop.