PR-119Patient Responsibility
Benefit maximum for this time period has been reached -- patient responsibility
What this code means
You have exhausted your benefit limit for this type of service. The patient responsibility version means you owe the amount.
What to do next
Verify your benefit limit count with your insurer. If you believe the count is wrong, request an accounting. If the limit is correct, consider whether the service could be deferred to the next benefit period.
Appeal outlook: Low unless limit calculation is wrong
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