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N760 Remark Code: Facility Not Authorized for Payment

N760 means the facility billed is not authorized to receive payment for the services on this claim. The payer's records do not show the facility enrolled, approved, or contracted for these services on the date of service.

Quick facts

Code
N760 (RARC N760)
Status
Active In use since November 1, 2015.
Code set
Remittance Advice Remark Codes (RARC)
Group codes
  • CO (Contractual Obligation): The facility bears the denial. Patients generally should not be billed when payment is refused over facility authorization.
Official description
This facility is not authorized to receive payment for the service(s).
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified
against the official X12 list.

What N760 means

Payers keep records of which facilities may be paid for which services. That status depends on enrollment, contracts, certifications, and sometimes program approvals. N760 says the facility on your claim did not have that status for these services on the date of service.

It usually pairs with CARC B7, CARC 171, or CARC 299. It is a facility-level problem, so it often affects many claims at once.

Common causes

  • A new facility, location, or department was not fully enrolled with the payer.
  • The facility’s enrollment covers some service types but not the one billed.
  • A certification the service requires, such as for imaging or a specialty program, is missing from the payer’s file.
  • A change of ownership or tax ID was not reported, breaking the link to the facility’s enrollment.
  • The facility’s contract or approval lapsed.

How to fix it

  1. Call the payer’s provider enrollment or network team to find out exactly why the facility is not authorized.
  2. Compare the facility name, NPI, address, and tax ID on the claim (boxes 32, 32a, 33, 33a, and 25 on the CMS-1500) with the payer’s records.
  3. If the claim data is wrong, correct it and resubmit with resubmission code 7.
  4. If enrollment or certification is missing, complete it and ask whether affected claims can be reprocessed once it is approved.
  5. Watch timely filing limits while enrollment is pending.

How to prevent it

Start payer enrollment well before a new site or service opens, and track each payer’s approval by location and service line. See provider enrollment denials for a checklist.

Codes that may appear with N760

  • CO-B7 (This provider was not certified/eligible to be paid for this procedure/service on this date of service.): The provider was not certified or eligible to be paid for this service on this date.
  • CO-171 (Payment is denied when performed/billed by this type of provider in this type of facility.): Payment is denied when billed by this type of provider in this type of facility.
  • CO-299 (The billing provider is not eligible to receive payment for the service billed.): The billing provider is not eligible to receive payment for the service billed.
  • N761 (This provider is not authorized to receive payment for the service(s).): The same problem for an individual provider rather than a facility.
  • N732 (Services performed at an unlicensed facility are not reimbursable.): The facility is unlicensed, one specific reason it may not be authorized.
  • N762 (This facility is not certified for Tomosynthesis (3-D) mammography.): The facility lacks a specific certification, for 3-D mammography.
  • N403 (Missing facility certification.): The facility certification is missing.

N760 FAQ

Why would a facility not be authorized to receive payment?

Common reasons are incomplete enrollment for the service or location, a missing certification the service requires, an expired contract, or a payment hold. The payer can tell you which applies.

Is N760 about the patient's coverage?

No. It concerns the facility's status with the payer. The patient's benefits may be fine.

Can enrollment be made retroactive?

Some payers allow a retroactive effective date within limits; others do not. Ask during enrollment and keep documentation of when you applied.