OwedAppeal

Denial codes

PR-3

Your copay

Your fixed copay for the visit. Not a denial.

Official meaning (X12 code 3): Co-payment amount.

Who pays

PR-3. Patient responsibility: the plan says this part is yours to pay (deductible, copay, coinsurance, or a non-covered service).

What to do

  1. Check that the copay matches your plan's summary of benefits for this kind of visit.

Not sure this applies to you?

Paste the full reason from your notice into the free Denial Decoder for your deadline and rights.

Decode my denial, free

General information, not legal or medical advice. Owed is a document-preparation and sending service, not a law firm.