PI Denial Codes

Browse PI denial codes with clear explanations, common billing scenarios, claim adjustment guidance, and practical steps to help resolve payer-initiated claim denials

All PR Denial Codes
PI Denial Codes

PI-22 Denial Code- This Care May Be Covered by Another Payer Per Coordination of Benefits

PI-96 Denial Code- Non-Covered Charge(s)

PI-16 Denial Code- Claim Lacks Information Needed for Adjudication

PI-109 Denial Code- Claim or Service Not Covered by This Payer or Contractor

PI-197 Denial Code- Precertification, Authorization, Notification, or Referral Not Obtained

PI-45 Denial Code- Charge Exceeds Fee Schedule or Maximum Allowable Amount

PI-204 Denial Code- This Service, Equipment, or Drug Is Not Covered Under the Patient's Current Benefit Plan

PI-18 Denial Code- Duplicate Claim or Service

PI-26 Denial Code- Expenses Incurred Before Coverage Began or After Coverage Ended

PI-27 Denial Code- Expenses Incurred After Insurance Coverage Terminated

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