Denial code PR-96 (patient responsibility)
PR-96 and similar PR codes describe patient responsibility tied to plan rules; always read the payer’s remark codes alongside the CARC. 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.