EOB denial code PR-27: what it means

What it means

The service happened after your coverage ended, so the plan did not pay for it.

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

Official X12 description

“Expenses incurred after coverage terminated”

Typical cause

The date of service falls after your plan's termination date.

What to do next

1. 1Confirm your actual coverage end date — termination dates are sometimes recorded incorrectly.
2. 2If coverage was still active, send proof (for example, a confirmation of continued enrollment) to your insurer.
3. 3If you had COBRA or other continuation coverage, make sure the claim was sent to the right plan.