Health insurance denial & claim adjustment codes

What health insurance denial code 241 means on your EOB

A reduced copay under the Medicare Part D Low Income Subsidy. If you see this, you qualify for Extra Help — and many people who qualify never enroll.

What usually causes it

• You are enrolled in the Low Income Subsidy.
• Your copay is reduced accordingly.
• Your subsidy level sets the amount.

The documents that decide it

• Your Part D EOB.
• Your subsidy level.
• Your Medicare and Medicaid status.

What to do next

This code confirms you have Extra Help. If you did not know that, check whether other low-income programs also apply — they frequently travel together.

This page explains what a code means. It is information, not advice — it does not tell you whether your specific claim should have been paid, and it is not legal, medical, or insurance advice. Your plan documents and your denial notice govern your situation.