Which denial codes appear with N30?

N30 commonly rides with PR 27, PR 204, PR 96. The adjustment code says the claim was reduced; the remark code says why.

Remark code

N30 denial code

The patient was not eligible for this particular service on that date. That is narrower than not being covered at all, and the difference matters.

Find out which, first

A remark code is not the denial. The adjustment code says the claim was reduced. This one says why. You need both to know what to send back.

What to do

Check eligibility for the date of service AND for the specific benefit, not just whether the policy was active. A patient can be covered and still have no benefit for the thing you billed.

Codes it appears with

N30 commonly rides alongside these. Our reading, not a published mapping: X12 publishes no adjustment-to-remark table.

Code	What that one means
PR 27	Coverage had ended on the date of service.
PR 204	Not covered under the patient’s current benefit plan.
PR 96	Not a covered charge under this plan.

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