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Group Reason Code PI 119

PI 119 – Benefit maximum for this time period or occurrence has been reached.

We have an insurance that we are getting a denial code PI 119. PI generally is used for a discount that the insurance would expect when there is no contract. Can we balance bill the patient for this amount since we are not contracted with Insurance? Can anyone guide me to a good site to review this information?

Medical Billing and Coding Forum