Denial code PR-119

What does Denial code PR-119 mean on a medical bill?

PR-119 means you have used up what the plan covers for this kind of care in the period it measures, so it stopped paying and pointed the rest at you. Limits like this usually sit on care counted by the visit, such as therapy, chiropractic care, or some equipment. Two things go wrong often enough to check both: the plan counting visits you never had, and the count sweeping in visits its own rules say should not have counted toward the limit.

What should I watch out for with Denial code PR-119?

• Ask your plan for the list of visits it counted toward the limit, with dates and provider names
• Compare that list against your own calendar and question any date you were not actually there
• Ask your doctor's office whether an exception or a new authorization can extend the benefit