Denial code PR-1 (patient responsibility)

PR-1 (patient responsibility code) typically means the amount is the patient’s responsibility under the plan, such as a deductible, copay, or coinsurance. A code on your EOB or denial letter explaining why a claim was not paid or was reduced. Standard codes are CARC (Claim Adjustment Reason Codes) and RARC (Remittance Advice Remark Codes). Payer-specific codes vary by insurer.