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Denial code PR-3: what it means and what to do

Denial code PR-3 on your Explanation of Benefits: This amount is your copay. It is not a denial.

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What PR-3 means

This amount is your copay. It is not a denial.

PR means patient responsibility: the plan says you owe this amount.

What to do

Check the amount against your plan's Summary of Benefits and Coverage. If it looks wrong, call the plan and ask how it was counted.

Other denial codes

Sources

  1. HealthCare.gov: Internal appeals