PR-2: Coinsurance
UPDATED JULY 2026 · U.S. PLANS · NOT LEGAL OR MEDICAL ADVICE
Your percentage share of the allowed amount after deductible. Expected cost-sharing, but worth verifying.
PR-2 at a glance
- Code group: PR — Patient Responsibility — the payer assigns this amount to you (verify before paying).
- Who usually fixes it: You (the member).
- Worth appealing? Rarely — usually fixed by resubmission.
What to do about a PR-2 denial
- Confirm the percentage matches your plan (e.g., 20% in-network).
- Check the out-of-pocket maximum — once reached, coinsurance should stop.
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