What is the PR-31 denial code?

Asked by: Aniya Lemke  |  Last update: March 4, 2025
Score: 4.5/5 (36 votes)

PR 31 specifically means that the patient isn't found as a member of the insurance company in question. Whether this means the insurance number isn't submitted correctly or the patient information did not get entered correctly, credentials are not adding up.

What is a PR code 31?

What is Denial Code PR-31? The claim has been rejected because the payer cannot identify the patient as a covered member. This typically happens when patient details, such as name or ID, differ from the records on file with the insurance provider, preventing coverage verification and causing the claim to be denied.

What is C31 denial code?

Reason Code C31 - Goods / Services Not As Described.

What is reason code 31?

Code. Description. Reason Code: 31. Patient cannot be identified as our insured.

What is a co 31 remark code?

The CO 31 Denial Code surfaces when the patient cannot be identified as insured by the payer. In simple terms, this denial signals a mismatch between the patient's details submitted in the claim and the details available with the insurance provider.

What is Denial Code PR 31?

25 related questions found

What is denial PR 31?

PR 31 specifically means that the patient isn't found as a member of the insurance company in question. Whether this means the insurance number isn't submitted correctly or the patient information did not get entered correctly, credentials are not adding up.

What is denial code pr 32?

What is Denial Code 32. Denial code 32 is an indication that our records show the patient is not considered an eligible dependent. This means that the patient may not meet the criteria or requirements to be covered under the insurance plan as a dependent of the policyholder.

What does code 31 mean?

Code 31 "This device is not working properly...(Code 31)" Full Error Message. This device is not working properly because Windows cannot load the drivers required for this device. ( Code 31)

What is decline code 31?

Response Code: 31 - Bank Not Supported By Switch. The customer's card issuer has declined the transaction as it does not allow transactions originating through mail /telephone, fax, email or Internet orders.

What is return reason code 31?

When an ACH transaction is returned with ACH Return Code R31, it means that the return is permissible, and that whatever the specific reason for the return, it falls within the acceptable criteria as defined by the ACH rules.

What is the reason code C31?

American Express chargeback reason code C31 falls under the “Card Member Disputes” category. The shorthand description is “Goods/Services Not as Described.” This means the cardholder claims that they received goods or services that were substantially different from what the merchant described.

What is diagnosis code C31?

ICD-10 code: C31 Malignant neoplasm of accessory sinuses.

What does value code 31 mean?

For Nursing facility claims, Value code 31 should only be used to indicate a Lump Sum amount, and not the individual's monthly patient liability amount as indicated in OAC 5160-3-39.1.

What is restriction code 31?

Restriction code 31

Pedal adaptations and pedal safeguards. Use this code if you need to use any of the following adaptations to your vehicle: extra set of parallel pedals (extension pedals) pedals at (or almost at) the same level.

What is release cause code 31?

Cause 31 Normal, unspecified - This cause is used to report a normal event only when no other cause in the normal class applies.

What is a code 31 denial?

Denial code 31 means that the patient cannot be identified as our insured. This typically occurs when the insurance information provided by the patient does not match the information on file with the healthcare provider or insurance company.

What is the transaction code 31 on a Cheque?

The cheque leaves bear the narration “payable at par at all branches” and the MICR code line of the cheques have transaction codes 29 (Current A/c), 30 (Savings Bank A/c) and 31 (Cash Credit A/c) to facilitate processing of such cheques as local cheques at the MICR cheque processing centres.

What are decline codes?

Let's start with the basics: a decline code is a two- to three-digit alphanumeric reference indicating why a card transaction was rejected. The payment schemes define these codes. Visa and Mastercard generally use the same numbers for similar payment failures. For example, code 14 means “invalid card number” for both.

How to resolve code 31?

(Code 31). Microsoft* recommends reinstalling your Graphics Driver to resolve Code 31 errors, as per this article: Error codes in Device Manager in Windows. We recommend performing a clean install of the latest graphics drivers provided by the system manufacturer since these drivers are customized.

What is alert code 31?

Seeing error code 31 on your thermostat means it hasn't been able to communicate with your furnace for more than three minutes. Several components communicate with the thermostat, so you may find this error code when any of them malfunction or fail.

What is PR denial?

The Fabric of Denial Codes

For instance, CO 97 implies that the claim was denied because the service is included in another service or procedure already adjudicated. PR (Patient Responsibility): These codes indicate that the patient is responsible for the expenses, such as co-pays or deductibles.

What is PR 32 code?

PR31 Claim denied as patient cannot be identified as our insured. PR32 Our records indicate that this dependent is not an eligible dependent as defined. PR33 Claim denied - insured has no dependent coverage. PR34 Claim denied - insured has no coverage for newborns.

What is a PR 33 denial code?

What is Denial Code 33. Denial code 33 means that the insured individual does not have coverage for dependents. This indicates that the insurance policy only covers the primary policyholder and does not extend coverage to any dependents, such as children or spouses.