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3
PR - Patient ResponsibilityPatient Responsibility
Denial Code PR-3: Co-payment Amount
What Does Code 3 Mean?
The amount collected or to be collected from the patient as a co-payment for the service.
Group Code PR (Patient Responsibility): The patient is responsible for this amount (deductible, copay, coinsurance, non-covered services).
Why Does This Happen?
Standard copay per the patient's plan.
How to Resolve It
- 1Collect copay from patient at time of service
- 2Verify copay amount matches the plan
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