What PR-3 means
The patient's fixed copay for the visit, owed by the patient.
Common causes
- Copay not collected at the visit
How to fix it
- Collect copays at check-in
- Bill any uncollected copay to the patient
Check the remark code (RARC) that came with the denial and the payer's own policy, since rules vary by payer and plan. This is a plain-English summary written by GetMax; the official code text is published by X12 at x12.org/codes.
Prevent it next time
Most denials are caused before the claim is sent. See 12 ways to reduce claim denials, or let our denial management team work them for you.