Healthcare Error Code
Healthcare Insurance / Medical Billing
Patient Responsibility (PR)
PR-2 | Coinsurance
Industry
Healthcare
Canonical
/healthcare/error-codes/pr-2/
Last Updated
Feb 25, 2026
Summary
This code indicates that the patient is responsible for a percentage of the covered charges.
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What This Code Means
PR-2 reflects the coinsurance portion assigned to the patient after insurance payment. Coinsurance represents a shared cost arrangement between the insurer and patient. This is a normal benefit structure, not a denial. The service remains covered, with costs divided according to plan terms.
Where Users Usually See This Code
- Explanation of Benefits
- Patient billing statements
- Remittance advice
Why This Code Appears
- Coinsurance applies after deductible
- Plan cost-sharing requirements
- Coverage percentage rules enforced
What Typically Happens Next
- Patient balance includes coinsurance amount
- Claim processing is complete
- Remaining charges are settled
What This Code Is Not
- It is not a non-covered charge
- It is not a billing error
- It is not a contractual adjustment
Troubleshooting Checklist
- □ Review plan coinsurance terms
- □ Confirm applied percentages
- □ Monitor benefit summaries
Notes And Edge Cases
Coinsurance percentages vary by plan. Out-of-network services may have different rates.
Related Codes
8 links
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