What PR-1 means
The allowed amount was applied to the patient's deductible. This is not a denial: the patient owes this amount.
Common causes
- Patient has not met their annual deductible
How to fix it
- Bill the patient for the deductible amount
- Collect estimated deductibles at check-in for high-deductible plans
Check the remark code (RARC) that came with the denial and the payer's own policy, since rules vary by payer and plan. This is a plain-English summary written by GetMax; the official code text is published by X12 at x12.org/codes.
Prevent it next time
Most denials are caused before the claim is sent. See 12 ways to reduce claim denials, or let our denial management team work them for you.