PR-3 denial code
Copay. A fixed amount the patient owes for the visit. Not a denial.
PR — Patient Responsibility. The amount is the patient's to pay: deductible, coinsurance, or copay. These are not denials, and they are collectible.
Why you got it
- 1The plan has a fixed copay for this service type.
How do I fix a PR-3 denial?
- Collect from the patient. Ideally you already did, at check-in.
How to stop the next one
Nothing to prevent — but a copay collected at the desk costs nothing to collect.
Our diagnosis scrubber will not catch this one. PR-3 is driven by procedure codes, modifiers, or eligibility rather than by the diagnosis set — and procedure-side checking needs an AMA CPT licence we do not hold yet. We would rather tell you that than sell you a tool that quietly misses your most common denial.
If denials like this are a volume problem rather than a one-off, the denial management page explains how the paid workspace catches the coding causes on every claim, and the free ICD-10-CM lookup shows the coding notes behind any diagnosis code on the remittance.