OakClaim
PR-187Patient ResponsibilityPatient Responsibility

PR-187 Denial Code: Consumer spending account payment

The amount was paid from the patient's spending account (FSA/HSA/HRA) — informational; funds came from the member's account.

Why PR-187 happens

  • Plan-linked HSA/FSA/HRA auto-paid part of the claim

How to fix a PR-187 denial

  1. 1

    Post as patient-sourced payment; don't double-bill the patient for it

How to prevent it

Recognize spending-account payments in posting rules to keep ledgers clean.

Drowning in PR-187 denials?

OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.

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