PR-3 Denial Code: What CARC 3 Means and When You Can Bill the Patient

PR-3 pairs group code PR, Patient Responsibility, with Claim Adjustment Reason Code 3. X12 defines CARC 3 as Co-payment Amount. The payer processed the claim and paid its contracted share. The copay is the patient’s fixed per-visit fee under their plan. Post it to the patient ledger and bill the patient. A PR-3 denial code […]