PRReferenceCurrentVerified Aug 15, 2026Group Code PR
Patient Responsibility
AR Guide interpretation
What this group code means
The patient is financially responsible for the amount — deductible, coinsurance, copayment, or non-covered services for which the patient may be billed per the plan. Verify patient liability rules before billing.
AR Guide interpretation
Common usage
- Deductibles, coinsurance, copayments
- Non-covered services where the patient can be billed
- Billed to the patient
Reading the remittance advice: Note
The group code tells you who is responsible for the adjustment amount. Combine it with the CARC and any RARC on the line to understand exactly why the amount adjusted and what to do next.