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PR-P3 - Denial Journal
CARC PR — Patient Responsibility

PR-P3

What This Code Means

Workers’ Compensation case settled. Patient is responsible for amount of this claim/service through WC ‘Medicare set aside arrangement’ or other agreement. To be used for Workers’ Compensation only.

Common Causes

  • Payer-specific processing rule or historical/administrative code
  • May require payer contact for full context

How to Resolve or Appeal

  1. Review the payer's specific policy referenced by this code
  2. Contact the payer's provider services line if the reason isn't clear from the remittance

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

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