CARC3ReferenceCurrentVerified Aug 15, 2026CARC 3
AR Guide Workflow
Patient Responsibility
The amount is the patient's responsibility under the plan — deductible, coinsurance, copayment, or a non-covered amount the patient may be billed.
AR Guide explanation
What it means
The amount is the patient's copayment for the service per the benefit plan.
AR Guide knowledge
Common denial category
Patient Responsibility — The amount is the patient's responsibility under the plan — deductible, coinsurance, copayment, or a non-covered amount the patient may be billed.
AR Guide knowledge
Common causes
- Plan requires a copay for the service type
- Copay tier applied incorrectly
AR Guide knowledge
What AR should verify
- Confirm the copay amount in the patient's benefit plan
- Verify the service type maps to the correct copay tier
AR Guide knowledge
Recommended action
- Bill the patient the copay per the plan
About this guidance: Note
AR Guide knowledge is general reference content written by our team — it is not payer-specific policy and never replaces the payer’s documentation or your contract. Always confirm specifics with the payer.