All denial codes

CARC · PR group

PR-3

Copayment amount

Patient responsibility; billable to the patient

What it means
The patient's fixed per-visit amount.
Likely cause
Standard plan design; becomes a problem only when the copay was never collected.
How to fix it
Collect at check-in with a card on file, then reconcile collected copays against PR-3 lines on the remit.
Revenue impact
Small per visit, material annually across a full clinician panel.
  • patient responsibility
  • copay
  • collections

Related codes

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