Claim adjustment reason code
Denial code PR-3 meaning
CARC 3, usually seen as PR-3: This is a fixed copay the patient owes for the visit or service.
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- Reason code
- CARC 3
- Short name
- Copay
- Plain meaning
- This is a fixed copay the patient owes for the visit or service.
- Group codes
- PR-3: Patient responsibility. The patient, or a secondary payer, may owe the amount.
Plain-English summary written by Rivvi. X12 owns the CARC list and its exact wording, which is not reproduced here. Read it on the X12 CARC list (list dated November 1, 2025, checked October 23, 2026). This page does not decide how a claim is paid.
Common causes
- The plan sets a flat copay for this type of service.
What to check before resubmitting
- Confirm the copay collected at check-in matches the amount on the remittance.
- Refund or bill the difference.
Related reason codes
Related pages
Questions
What does denial code PR-3 mean?
This is a fixed copay the patient owes for the visit or service. This is Rivvi's plain-English summary of CARC 3. X12's exact wording is on x12.org.
How do I fix PR-3?
Confirm the copay collected at check-in matches the amount on the remittance. Refund or bill the difference.
Can I bill the patient for PR-3?
When it comes with group code PR, the patient or a secondary payer may owe the amount. When it comes with CO, the provider writes it off.
Which group codes come with CARC 3?
Most often PR (patient responsibility). The group code, not the reason code, says who owes the amount.
What is the difference between a CARC and a RARC?
A claim adjustment reason code (CARC) says why a claim line was paid differently than billed. A remittance advice remark code (RARC) adds detail, such as which field is missing.