N95 remark code

Remittance advice remark code N95. Remark codes add detail to the reason code on the same claim line.

Provider type cannot bill 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 Nov 11, 2026.

What N95 means

The payer does not allow this kind of provider or specialty to bill for this service.

Payers limit some services to certain provider types or specialties. N95 means the specialty or provider type on file for the rendering or billing provider is not on the payer's allowed list for this code.

It usually supports a reason code like 170 or 185. Often the cause is how the provider is enrolled with the payer, not who actually performed the service.

Common causes

• The service is restricted to specific specialties and the provider's enrolled specialty is different.
• The provider's taxonomy code on the claim does not match the specialty the payer has on file.
• A facility billed a professional only service, or a professional billed a facility only service.

What to do next

1. Check the payer's policy for which provider types may bill the code.
2. Compare the taxonomy on the claim with the specialty on the provider's enrollment record.
3. Update the enrollment or correct the taxonomy, then resubmit if the provider is eligible.
4. If another provider type should bill the service, route it to that provider.

Related codes

• N808 (remark code) Provider type excluded for this service
• N570 (remark code) Credentialing data problem
• N290 (remark code) Rendering provider ID problem