PR-2 — Coinsurance
Claim-adjustment reason code 2 · typically reported as PR-2
What it means
The payer paid its share and the remaining percentage (20% for Original Medicare DMEPOS) is patient responsibility.
Why DME claims hit it
- Standard 80/20 split on every Medicare DMEPOS allowable
How to fix it
- Bill the patient or their supplemental/secondary plan
- Confirm Medigap crossover is set up so coinsurance claims flow automatically
Appeal posture
Nothing to appeal — this is normal cost-sharing.
Related denial codes
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