Overview
Some payers may require the staff's taxonomy to travel on the claim. This can occur when you are sending professional-type codes and the staff NPI's travels on the claim.
Important:
- UCare is requiring all professional claims submitted on/after March 1, 2017 contain the facility taxonomy code and the staff's taxonomy code, which correlates to the respective NPIs.
- South Country Health Alliance is requiring all professional claims beginning with DOS 8/1/17 contain the facility taxonomy code and the staff's taxonomy code, which correlates to the respective NPIs.
Set Up the Payer
- Click on the Payers Module.
- Double click to open the payer.
- Click on the Payer Rules tab.
- In the field Send staff taxonomy: select Yes.
- Click on the Id's tab
- In the field Send taxonomy code: select Yes.
- This field will only be present in some payers. If the field isn't listed for the payer in review, please proceed to step 7.
- This field will only be present in some payers. If the field isn't listed for the payer in review, please proceed to step 7.
- Click Save.
Set Up the Staff Record
- Click on the Staff Module.
- Double click to open the staff record.
- Click on the Billing tab.
- In Specialty: select the taxonomy code that matches this staff's NPI.
- Click Save.
Important:
If you are unsure of the taxonomy code that is registered with an NPI (facility or staff), please verify on the NPI Registry Search: https://npiregistry.cms.