Remittance advice remark code
Remark code N130 meaning
RARC N130: The payer is pointing you to the patient's plan documents or guidelines for the limit or rule that applied to this service.
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- Remark code
- RARC N130
- Short name
- Check the plan's benefit documents
- Plain meaning
- The payer is pointing you to the patient's plan documents or guidelines for the limit or rule that applied to this service.
- Kind
- Adds detail to the reason code on the same line.
Plain-English summary written by Rivvi. X12 owns the RARC list and its exact wording, which is not reproduced here. Read it on the X12 RARC list (list dated July 1, 2026, checked October 23, 2026). This page does not decide how a claim is paid.
What to check before resubmitting
- Read the plan's benefit summary or coverage policy for the service.
- Look at the reason code (CARC) on the same line, often 96, 204 or 49, for the type of limit.
Reason codes it often comes with
Related remark codes
Related pages
Questions
What does remark code N130 mean?
The payer is pointing you to the patient's plan documents or guidelines for the limit or rule that applied to this service. This is Rivvi's plain-English summary of RARC N130. X12's exact wording is on x12.org.
What should I do about N130?
Read the plan's benefit summary or coverage policy for the service. Look at the reason code (CARC) on the same line, often 96, 204 or 49, for the type of limit.
Is N130 a denial?
A remark code adds detail to the reason code on the same line. The reason code (CARC) and its group code decide what was denied or adjusted. It is often paired with reason codes 96, 204, 49, 1.
What is the difference between a RARC and a CARC?
A remittance advice remark code (RARC) adds detail to a claim adjustment reason code (CARC). The CARC says why the line was adjusted. The RARC often says what to fix.