N30RARCAppealability depends
What it means
The insurer's records show you were not eligible for this specific service under your plan.
Official X12 description
“Patient ineligible for this service.”
Typical cause
An eligibility or enrollment record issue, or the service is not available under your benefit category.
What to do next
- 1Confirm your enrollment and eligibility were active for the date of service.
- 2If your records are correct, ask the insurer to explain the eligibility basis and consider an appeal.