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PR 119 denial code dental

On a dental remittance, code PR 119 means: The benefit maximum for the period (or the occurrence) has been reached. structural: appeal rarely changes it. Unappealable when the accumulator is right — no letter restores an exhausted maximum. The only checks worth running: whether the payer's accumulator math is correct (prior claims processed to the right plan year) and whether any benefit rides outside the maximum under the plan's terms.

Last verified
2026-08-29
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Source citations

  • X12-CARC X12 Claim Adjustment Reason Codes (official list) (x12.org)

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