Health insurance denial & claim adjustment codes
A No Surprises Act remark code. It tells you this payment falls under the federal law, and a federal dispute path opens after an open-negotiation period.
You generally cannot be balance-billed for care covered by this code. If you receive a bill beyond your EOB's patient-responsibility amount, that is the finding.
Check if this is a surprise bill
Check if this is a surprise bill → Free. No account, no card.This page explains what a code means. It is information, not advice — it does not tell you whether your specific claim should have been paid, and it is not legal, medical, or insurance advice. Your plan documents and your denial notice govern your situation.