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PR-3 - Denial Journal
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CARC

PR-3

CARC PR — Patient Responsibility Non-Covered
Quick Facts
Code
PR-3
Type
CARC
Category
Non-Covered
Status
Active

Co-payment amount

What Does This Code Mean?

The amount applied is the patient’s fixed co-payment for this type of visit or service.

Common Causes

  • Standard fixed cost-share defined by the plan
  • Copay amount differs for specialist vs. primary care visits

Recommended Next Steps

  1. Collect the copay at time of service going forward to reduce A/R
  2. Confirm the copay amount matches the patient's ID card/plan
  3. Bill retroactively if not collected at check-in

More Denial Codes to Check

RARC M140 RARC M80 RARC MA13 RARC M83 CARC CO-24 CARC CO-45 CARC CO-49 CARC CO-202 RARC M37 CARC CO-303 CARC CO-60 CARC CO-212

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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