PI (Payor Initiated Reduction) Denial Codes
PI adjustments are payer-initiated reductions that are similar to CO but may carry different appeal rights depending on the payer and contract terms. Less common than CO or PR.
Common scenarios: Payer-initiated payment reductions. Adjustments with specific appeal rights under contract. Reductions that differ from standard contractual obligations.
Codes: 1 active Financial responsibility: Varies Patient billable: No
Disclaimer
This content is for informational purposes only. Always verify against your payer contracts and current coding guidelines. All PI Denial Codes
| Code | Name | Category | Action | |
|---|---|---|---|---|
| PI-278 | Performance Program Proficiency Requirements Not Met | other | Review & Decide | → |
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