PR-241Patient ResponsibilityPatient Responsibility
PR-241 Denial Code: Low Income Subsidy (LIS) copayment
Medicare Part D LIS copayment amount — the reduced patient share for subsidy-eligible members.
Why PR-241 happens
- ●Part D claim for an LIS-eligible beneficiary
How to fix a PR-241 denial
- 1
Collect the LIS copay level, not the standard copay
How to prevent it
Pharmacy systems should apply LIS levels from the eligibility response.
Drowning in PR-241 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.