N95: This provider type/provider specialty may not bill this service
The payer's rules restrict which provider types can bill this particular code, and the rendering or billing provider's enrolled specialty does not match what is required.
Corrective actions
- 1
Confirm the rendering provider's enrolled specialty
Check the provider's enrollment record with the payer to see which specialty and taxonomy code is on file, since it may not match the actual service rendered.
- 2
Rebill under the correct provider if applicable
If a different provider on the claim (such as a supervising physician) is properly enrolled to bill the service, correct the rendering provider information and resubmit.
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Retrieved 2026-07-18.
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DenialPath provides billing and administrative guidance based on published CMS and X12 sources. It is not medical advice, not a coverage determination, and not a guarantee of payment. NCCI and MUE edits are republished quarterly and payer policies vary by contract. Always confirm against the payer's own current policy before submitting or appealing.