OakClaim
PR-248Patient ResponsibilityPatient Responsibility

PR-248 Denial Code: Coinsurance for professional service in institutional claim

The coinsurance twin of 247 — patient's coinsurance share for institutional professional services.

Why PR-248 happens

  • Coinsurance application in institutional billing of professional services

How to fix a PR-248 denial

  1. 1

    Bill the patient the coinsurance; reconcile with the remit

How to prevent it

Point-of-service estimates covering institutional coinsurance.

Drowning in PR-248 denials?

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

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