PR-31 Denial Code: What “Patient Cannot Be Identified as Our Insured” Means and How to Fix It (CO-31 Included)

The PR 31 denial code means the payer looked for your patient and couldn’t find a matching insured record. X12 words reason code 31 as “Patient cannot be identified as our insured.” The same code shows up as CO-31, and those two letters decide who owes the balance. Code 31 says nothing about medical necessity, […]