PR-2 | Coinsurance

Industry

Insurance

Canonical

/insurance/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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Use these links to pivot between the directory, a focused guide, and nearby related codes.

Hub

Guides

The Complete Insurance Claim Denial Codes Directory (2026 Edition)

Related Codes

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

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