Denial Code 187 (CO-187, PR-187) — Meaning & What to Do

Claim Adjustment Reason Code (CARC)

What denial code 187 means: This relates to a consumer-spending-account (like an HSA/FSA) payment.
What to do about denial code 187: Check your HSA/FSA records for this transaction.

CO-187 vs PR-187 vs OA-187: what the prefix means

Code on your EOBWhat the prefix meansWho typically pays
CO-187Contractual obligation — the provider writes the amount offUsually not the patient
PR-187Patient responsibilityThe patient
OA-187Other adjustmentOften another payer or plan

The prefix tells you who is expected to absorb the amount; the number (187) tells you why.

Seeing denial code 187 on your EOB?
A denial code tells you what the payer reported, but it may not tell the whole story. Reviewing your EOB and bill together can help clarify what may need attention.

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Related codes

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Frequently asked questions about Denial code 187

What does denial code 187 mean on my EOB?

This relates to a consumer-spending-account (like an HSA/FSA) payment.

What should I do about denial code 187?

Check your HSA/FSA records for this transaction.

Seeing this code on your own EOB?
Upload the EOB, the bill, or both — MD Bill Check reads the codes on your documents, compares them side by side, and flags what's worth questioning. Free, no account needed.

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Last reviewed 2026-07-07 · MDBillCheck Editorial Team. Plain-English explanations are original wording; always verify the specific reason with your insurer.