GetMax

Remittance advice remark code

N56
Procedure code not correct or valid for the services or date billed

What N56 means

The code does not match the service or was not valid on the date of service.

How to fix it

  1. Verify the correct code for the documented service
  2. Correct and resubmit

Check the remark code (RARC) that came with the denial and the payer's own policy, since rules vary by payer and plan. This is a plain-English summary written by GetMax; the official code text is published by X12 at x12.org/codes.

Prevent it next time

Most denials are caused before the claim is sent. See 12 ways to reduce claim denials, or let our denial management team work them for you.

Let us work your denials.

We triage every denial by code and payer, fix or appeal it, and stop it repeating.