PR-P3Patient ResponsibilityWorkers' Comp & Auto
PR-P3 Denial Code: WC case settled — patient responsible via set-aside
The WC case settled; the patient pays from their Medicare set-aside or settlement arrangement.
Why PR-P3 happens
- ●Post-settlement care for a settled WC injury
How to fix a PR-P3 denial
- 1
Bill the set-aside administrator or patient per the settlement terms
How to prevent it
Ask about settlements when treating old work injuries.
Drowning in PR-P3 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.