N574 remark code
Remittance advice remark code N574. Remark codes add detail to the reason code on the same claim line.
Ordering provider type not allowed
Unofficial reference. This is our own plain-English explanation, not the official code text. Payer rules differ. Verify with the payer and the official X12 code list. AlphaPrefix is not affiliated with X12, CMS or any payer. Data last updated .
What N574 means
The ordering or referring provider's type or specialty is not one the payer allows to order or refer this service.
Payers can limit who may order certain services, and some require the ordering provider to be enrolled as eligible to order and refer. N574 means the provider listed did not qualify.
It usually supports a reason code about the ordering or referring provider. Check the provider information on the claim and with the ordering provider before assuming the order is invalid.
Common causes
- The ordering provider is not enrolled with the payer as eligible to order or refer.
- A provider type that cannot order this service, under payer rules, was listed.
- The wrong provider was entered in the ordering field, such as the rendering provider.
What to do next
- Confirm the ordering provider listed is the one who actually wrote the order.
- Check the ordering provider's enrollment and specialty with the payer.
- Correct the ordering provider on the claim, or ask the ordering provider to enroll.
- Resubmit once the ordering information is fixed.
Related codes
- N575 (remark code) Ordering provider name mismatch
- N265 (remark code) Ordering provider ID problem
- N31 (remark code) Prescribing provider ID problem
Source
Official wording: X12 Remittance Advice Remark Codes list. The explanation on this page is our own plain-English wording, not the X12 text.
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