PR-142Patient ResponsibilityPatient Responsibility
PR-142 Denial Code: Monthly Medicaid patient liability
The patient's Medicaid share-of-cost / patient liability amount for the month — patient responsibility by program design (common in LTC).
Why PR-142 happens
- ●State Medicaid spend-down or LTC patient-liability amount applied
How to fix a PR-142 denial
- 1
Bill the patient/responsible party for the liability amount per the state notice
How to prevent it
Confirm monthly liability amounts with the state file before billing LTC claims.
Drowning in PR-142 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.