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Claim Adjustment Reason Codes

Did you receive a code from a health plan, such as: PR32 or CO286? The “PR” is a Claim Adjustment Group Code and the description for “32” is below. The Claim Adjustment Group Codes are internal to the X12 standard. These codes generally assign responsibility for the adjustment amounts. The format is always two alpha characters. For convenience, the values and definitions are below:

CO Contractual Obligation
CR Corrections and Reversal
Note: This value is not to be used with 005010 and up.
OA Other Adjustment
PI Payer Initiated Reductions
PR Patient Responsibility

Reason Code Look Up


Published: Dec 29, 2025 by Scott Fisher | Updated Dec 29, 2025 @16:41 by Scott Fisher
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