Healthcare Error Code
Healthcare Insurance / Medical Billing
Remittance Advice Remark Codes (RARC)

N155 | Service not reimbursable

Industry
Insurance
Canonical
/insurance/healthcare/error-codes/n155/
Last Updated
Feb 25, 2026
Summary

This code indicates that the service is not eligible for reimbursement under payer rules.

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What This Code Means

N155 is used when a payer determines that a service is not reimbursable. This is a policy-based determination rather than a billing error. It does not imply that the service was inappropriate. Reimbursement eligibility depends on plan and payer guidelines.

Where Users Usually See This Code

  • Remittance advice remarks
  • EOB denial explanations
  • Claim adjudication summaries

Why This Code Appears

  • Service excluded from reimbursement
  • Policy restrictions apply
  • Benefit limitations enforced
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What Typically Happens Next

  • Payment is denied
  • Claim processing completes
  • Responsibility may transfer per policy

What This Code Is Not

  • It is not a documentation issue
  • It is not a temporary hold
  • It is not a duplicate claim

Troubleshooting Checklist

  • Review reimbursement policies
  • Confirm coverage exclusions
  • Monitor plan details

Notes And Edge Cases

Some services may be reimbursable under different plans. Secondary coverage may affect final responsibility.

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Related Codes

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