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N514 Remark Code (Deactivated): See Plan Restrictions

N514 told the provider to consult the plan's benefit documents or guidelines for information about restrictions on this service. X12 deactivated it and suggested N130, which has the same wording and is active.

X12 deactivated RARCN514 on January 1, 2011. Payers should no longer use it on new remittances, but it can still appear on older ERAs, corrected claims, and appeals.

Code: N514 (RARC N514)
Status: Deactivated StoppedJanuary 1, 2011 (in use since November 1, 2008).
Code set: Remittance Advice Remark Codes (RARC)
Group codes: CO (Contractual Obligation): Used with CO when the restriction left the amount with the provider.
PR (Patient Responsibility): Used with PR when the restriction made the patient responsible.
Official description: Consult plan benefit documents/guidelines for information about restrictions for this service.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified: September 24, 2026 against the official X12 list.

What N514 meant

Remark N514 was a pointer rather than an explanation. It told the provider that the service was subject to restrictions described in the plan’s benefit documents or guidelines, and that those documents held the details. It usually accompanied a coverage-related adjustment.

What replaced it

X12’s note suggested N130. N130 has the same text and is still widely used. The accompanying CARC gives the nature of the restriction, for example PR-204 when the service is not covered under the current plan, or PR-119 when a benefit maximum has been reached.

If you still see N514

It was active only briefly and appears in older data alone. For current claims carrying N130, look up the specific coverage policy for the service and member, decide whether the restriction was applied correctly, and appeal if the plan terms support coverage.

N130 (Consult plan benefit documents/guidelines for information about restrictions for this service.): The suggested replacement, with the same text.
PR-204 (This service/equipment/drug is not covered under the patient's current benefit plan): The service is not covered under the patient's current benefit plan.
PR-119 (Benefit maximum for this time period or occurrence has been reached.): Benefit maximum for this time period or occurrence has been reached.

N514 FAQ

Did N514 explain the restriction?

No. It pointed you to the plan documents. The adjustment code on the line, such as a benefit maximum or non-covered code, told you what kind of restriction applied.

How do I get the plan's guidelines?

Through the payer's provider portal, the member's summary of benefits, or by asking provider services for the specific policy.

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