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
- Review the payer's specific policy referenced by this code
- Contact the payer's provider services line if the reason isn't clear from the remittance
More Denial Codes to Check
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.