OakClaim
PR-247Patient ResponsibilityPatient Responsibility

PR-247 Denial Code: Deductible for professional service in institutional claim

Deductible allocated to a professional service rendered in an institutional setting, billed institutionally.

Why PR-247 happens

  • Deductible application in provider-based/institutional billing scenarios

How to fix a PR-247 denial

  1. 1

    Collect from the patient as deductible; verify against the plan's accumulator

How to prevent it

Estimate and collect institutional-setting deductibles at service.

Drowning in PR-247 denials?

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

Get a Free Audit

Related patient responsibility denials