Healthcare Error Code
Healthcare Insurance / Medical Billing
Remittance Advice Remark Codes (RARC)
N130 | Consult plan benefit documents
Industry
Healthcare
Canonical
/healthcare/error-codes/n130/
Last Updated
Feb 25, 2026
Summary
This code advises reviewing plan benefit documents for coverage details.
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What This Code Means
N130 is an informational remark directing users to consult plan benefit documentation. It does not determine payment or coverage on its own. The remark provides guidance to understand how benefits apply. It is typically paired with adjustment or responsibility codes. The code does not imply an error or denial by itself.
Where Users Usually See This Code
- Remittance advice remarks
- EOB explanations
- Claim detail summaries
Why This Code Appears
- Coverage rules require clarification
- Benefit limitations apply
- Plan-specific policies affect payment
What Typically Happens Next
- Users review plan documents
- Claim adjudication remains final
- No additional payer action occurs
What This Code Is Not
- It is not a denial code
- It is not a billing error
- It is not a request for documentation
Troubleshooting Checklist
- □ Review summary of benefits
- □ Confirm applicable plan rules
- □ Track benefit changes
Notes And Edge Cases
Benefit documents may differ between plan years. Employer-specific plans may have unique provisions.
Related Codes
8 links
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