Demystifying Single Carrier TPR Codes in Medical Billing

 

Single carrier TPR codes

UD Service under deductible
NC Service not covered by insurance policy
PN Patient not covered by insurance policy
IC Insurance coverage canceled/terminated
IL Insurance lapsed or not in effect on date of service
IP Insurance payment went to policyholder
PP Insurance payment went to patient
NA Service not authorized or prior authorized by insurance
NE Service not considered emergency by insurance
NP Service not provided by primary care provider/facility
MB Maximum benefits used for diagnosis/condition
RI Requested information not received by insurance from patient
RP Requested information not received by insurance from policyholder
MV Motor Vehicle Accident Fund (MVAF) maximum benefits exhausted
AP Insurance mandated under administrative/court order through an absent parent and not paid within 30 days
OT Other (if above codes do not apply, include detailed explanation of why there was no payment from insurance)
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