N808 remark code

Remittance advice remark code N808. Remark codes add detail to the reason code on the same claim line.

Provider type excluded for this service

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 N808 means

The payer does not cover this service when it is performed by this provider type or specialty.

N808 is a coverage decision about who did the service. The plan covers the service, but not when furnished by this kind of provider, for example a service the plan pays only to physicians or only to certain specialties.

It usually explains reason code 185 or 170. It differs from a billing restriction in that the service itself is not covered for this provider.

Common causes

What to do next

  1. Check the plan's policy on which provider types are covered for the service.
  2. Confirm the specialty and taxonomy on file match the provider's actual credentials.
  3. Rebill under the eligible provider if they performed or directly supervised the service and the plan allows it.
  4. Appeal if the provider type should be covered under the plan documents.

Related codes

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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