Healthcare Error Code
Healthcare Insurance / Medical Billing
Patient Responsibility (PR)
PR-3 | Copayment
Industry
Healthcare
Canonical
/healthcare/error-codes/pr-3/
Last Updated
Feb 25, 2026
Summary
This code indicates that a fixed copayment amount is the patient’s responsibility.
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What This Code Means
PR-3 reflects a fixed cost-sharing amount required under the patient’s plan. Copayments are predetermined and apply to specific services. This is a standard plan feature and does not indicate denial. The remaining portion may be covered by insurance.
Where Users Usually See This Code
- EOB documents
- Patient billing statements
- Remittance advice
Why This Code Appears
- Copayment applies to the service type
- Plan benefit rules enforced
- Service category requires copayment
What Typically Happens Next
- Patient is billed for the copayment
- Insurance covers remaining eligible charges
- Claim processing completes
What This Code Is Not
- It is not a non-covered service
- It is not a billing error
- It is not a deductible amount
Troubleshooting Checklist
- □ Review copayment schedule
- □ Confirm service category
- □ Monitor benefit summaries
Notes And Edge Cases
Copayment amounts vary by service and plan. Some preventive services may not require copayments.
Related Codes
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