PR-155Patient ResponsibilityDocumentation
PR-155 Denial Code: Patient refused the service
The payer's records show the patient refused this service/procedure — often surfacing from conflicting claims or member statements.
Why PR-155 happens
- ●Service billed after documented refusal (e.g., partial visit)
- ●Member told the plan they refused/didn't receive the service
How to fix a PR-155 denial
- 1
Review documentation; if the service was rendered, appeal with the signed record
- 2
If genuinely refused, void the charge
How to prevent it
Document refusals and partial completions precisely at point of care.
Drowning in PR-155 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.