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- 1. Taxonomy More Information
- (Category)
- More Information The Health Care Provider Taxonomy code set is a collection of unique alphanumeric codes, ten characters in length. The code set is structured into three distinct "Levels" including Provider ...
- Created on 29 November -0001
- 2. Characteristics More Information
- (Category)
- More Information The Provider Characteristics code set is for use with health care provider information for enrollment and credentialing transactions and their corresponding responses. It is intended ...
- Created on 29 November -0001
- 3. Shelagh Kalland
- (Contacts / Roster)
- Shelagh Kalland, America's Health Insurance Plans, Director of Provider Relations Blue Cross Blue Shield of Minnesota ...
- Created on
- 4. Katie Knapp
- (Contacts / Roster)
- Katie Knapp, Veterans Health Administration, Program Analyst/Industry Liaison Veterans Health Administration
- Created on
- 5. Jenny Couse
- (Contacts / Roster)
- Jenny Couse, National Center for Health Statistics, National Center for Health Statistics Center for Disease Control and Prevention
- Created on
- 6. Jeff Bishop (Alternate)
- (Contacts / Roster)
- Jeff Bishop (Alternate), Alliance for Managed Care, Vice President, Product Management United HealthCare
- Created on
- 7. Elizabeth Chittenden
- (Contacts / Roster)
- Elizabeth Chittenden, Alliance for Managed Care, Lead Director, Enterprise Release Support Commercial Claim CVS Health
- Created on
- 8. Durwin Day
- (Contacts / Roster)
- Durwin Day, Health Level 7, Supervisor, Legislative and Regulatory Implementation Offices Health Care Services Corporation
- Created on
- 9. Donna Ryan (Alternate)
- (Contacts / Roster)
- Donna Ryan (Alternate), Veterans Health Administration, eBilling Program Analyst VHA Office of Finance, Revenue Operations
- Created on
- 10. Denise Love (Alternate)
- (Contacts / Roster)
- Denise Love (Alternate), National Association of Health Data Organizations, Executive Director National Association of Health Data Organizations
- Created on
- 11. Danielle Lloyd (Alternate)
- (Contacts / Roster)
- Danielle Lloyd (Alternate), America's Health Insurance Plans, Senior Vice President, Private Market Innovation & Quality Initiatives America's Health Insurance Plans ...
- Created on
- 12. Barbara Rudolph
- (Contacts / Roster)
- Barbara Rudolph, National Association of Health Data Organizations, Senior Scientist UW-Madison Emeritus
- Created on
- 13. Permission to Use and Distribute the Health Care Provider Characteristics and Resources Code Set
- (Provider Characteristics)
- Permission to Use and Distribute the Health Care Provider Characteristics and Resources Code Set The American Medical Association (AMA) on behalf of the National Uniform Claim Code Committee (NUCC) ...
- Created on 14 April 2009
- 14. Health Care Provider Characterstics Codes CSV
- (Provider Characteristics)
- Health Care Provider Characteristics Codes CSV The current version of the Health Care Provider Characteristics Codes as a Comma Separated Values (CSV) file: Version 5.0, 1/21 Previous versions ...
- Created on 13 April 2009
- 15. Permission to Use and Distribute the Health Care Provider Taxonomy Code Set
- (Provider Taxonomy)
- Permission to Use and Distribute the Health Care Provider Taxonomy Code Set The American Medical Association (AMA) on behalf of the National Uniform Claim Code Committee (NUCC) grants you and your ...
- Created on 01 March 2009
- 16. Health Care Provider Taxonomy Code Set (CSV)
- (Provider Taxonomy)
- Health Care Provider Taxonomy Code Set CSV The current version of the Health Care Provider Taxonomy Code Set as a Comma Separated Values (CSV) file: Version 24.0, 1/1/24 Previous versions: Version ...
- Created on 01 March 2009
- 17. Health Care Provider Taxonomy Code Set (PDF)
- (Provider Taxonomy)
- Health Care Provider Taxonomy Code Set PDF The current version of the Health Care Provider Taxonomy Code Set: Version 24.0, 1/24 Previous versions of the Health Care Provider Taxonomy Code Set: ...
- Created on 01 March 2009
- 18. Health Care Provider Taxonomy
- (Provider Taxonomy)
- Health Care Provider Taxonomy Choosing a Code Health Care Provider Taxonomy codes are self-selected by the provider. These codes are for health care providers that are enrolled with payers. Taxonomy ...
- Created on 23 July 2005
- 19. Taxonomy Display Names
- (Active - Home Page)
- Display Names Added to Taxonomy Code Set Look-up Tool September 17, 2020 The Health Care Provider Taxonomy look-up tool has recently been updated to format that is easier to navigate. The left-hand ...
- Created on 17 September 2020
- 20. Updates to V11.0 7/23 1500 Instruction Manual
- (Active - Home Page)
- Updates to the 11.0 7/23 1500 Instruction Manual February 14, 2024 The NUCC has released updates to its Version 11.0 7/23 1500 Health Insurance Claim Form Reference Instruction Manual. The updates ...
- Created on 10 April 2017
- 21. 08/05 1500 Claim Form
- (1500 Claim Form)
- ... Manual for more specific information on the 1500 Claim Form and the X12 837 Health Care Claim: Professional 4010A1 implementation guide for more information on the electronic transaction. Background ...
- Created on 12 June 2013
- 22. New: 7/1/2014
- (Provider Taxonomy)
- ... through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Source: National Uniform Claim ...
- Created on 01 July 2012
- 23. New: 1/1/2015
- (Provider Taxonomy)
- ... treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting ...
- Created on 01 July 2012
- 24. New: 7/1/2015
- (Provider Taxonomy)
- ... approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the ...
- Created on 01 July 2012
- 25. New: 7/1/2016
- (Provider Taxonomy)
- ... as requested within the health system. Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical Additional Resource: ...
- Created on 01 July 2012
- 26. Modified: 1/1/2019
- (Provider Taxonomy)
- Modified codes 1/1/2019 103G00000X Under the Behavioral Health & Social Service Providers the Clinical Neuropsychologist definition changed to: Clinical Neuropsychologist A clinical ...
- Created on 01 July 2012
- 27. Modified: 7/1/2019
- (Provider Taxonomy)
- ... nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving ...
- Created on 01 July 2012
- 28. Modified: 1/1/2020
- (Provider Taxonomy)
- ... Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions ...
- Created on 01 July 2012
- 29. Modified: 1/1/2021
- (Provider Taxonomy)
- Modified codes 1/1/2021 103TM1800X Under the Behavioral Health & Social Service Providers; Psychologist the Mental Retardation & Developmental Disabilities title changed to: Intellectual & ...
- Created on 01 July 2012
- 30. Modified: 7/1/2022
- (Provider Taxonomy)
- ... Public Health, 42 CFR § 400.200 (2021). 3336L0003X Under the Suppliers; Pharmacy the Long Term Care Pharmacy definition changed to: Long Term Care Pharmacy A pharmacy that dispenses medicinal ...
- Created on 01 July 2012
- 31. Modified: 1/1/2023
- (Provider Taxonomy)
- ... midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including ...
- Created on 01 July 2012
- 32. Modified: 7/1/2023
- (Provider Taxonomy)
- ... Providers; Technician/Technologist the Orthoptist definition changed to: Orthoptist An orthoptist is an allied health professional skilled in evaluation and treatment of children and adults with eye movement ...
- Created on 01 July 2012
- 33. Modified: 1/1/2024
- (Provider Taxonomy)
- ... dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. Source: National Denturist Association, https://nationaldenturist.com/ ...
- Created on 01 July 2012
- 34. Modifications: 7/1/2015
- (Provider Taxonomy)
- ... health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of ...
- Created on 01 July 2012
- 35. Modifications: 1/1/2016
- (Provider Taxonomy)
- Modified codes 1/1/2016 103K00000X Replaced the current code definition for Behavior Analyst under Behavioral Health & Social Service Providers with the following:A behavior analyst ...
- Created on 01 July 2012
- 36. Modifications: 7/1/2017
- (Provider Taxonomy)
- ... with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited ...
- Created on 01 July 2012
- 37. Codes for COVID-19 Professional Claims
- (Active - Home Page)
- ... available on the Condition Codes page under the Code Sets tab. Provider Characteristics Codes The NUCC has released the following new Health Care Provider Characteristics codes related to COVID-19: ...
- Created on 03 January 2012
- 38. July 2022 Provider Taxonomy Code Set Update
- (Announcements)
- July 1, 2022 The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on October 1. 2022. The complete Provider Taxonomy code set is available ...
- Created on 03 January 2012
- 39. January 2023 Taxonomy Code Set Update Released
- (Announcements)
- January 4, 2023 The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2023. The complete code set is available under the "Code ...
- Created on 03 January 2012
- 40. July 2023 Taxonomy Code Set Update
- (Announcements)
- July 3, 2023 The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on October 1, 2023. The complete code set is available under the "Code ...
- Created on 03 January 2012
- 41. January 2024 Taxonomy Code Set Update Released
- (Active - Home Page)
- January 2024 Taxonomy Code Set Update January 2, 2024 The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2024. The complete ...
- Created on 03 January 2012
- 42. 2022 Annual 1500 Instruction Manual Released
- (Announcements)
- July 1, 2022 The NUCC has released its annual, updated version of its 1500 Health Insurance Claim Form Reference Instruction Manual. The updated instruction manual, Version 10.0 7/22, goes into effect ...
- Created on 28 June 2010
- 43. 2023 NUCC 1500 Instruction Manual Released
- (Active - Home Page)
- 2023 NUCC 1500 Instruction Manual Released June 28, 2023 The NUCC has released its annual version of its 1500 Health Insurance Claim Form Reference Instruction Manual. The 2023 instruction manual, ...
- Created on 28 June 2010
- 44. Help Form
- (Provider Characteristics)
- Health Care Provider Characteristics Codes Help If you have Health Care Provider Characteristics Codes, fill in this form to receive an email response. Questions will be answered within 24 to 72 ...
- Created on 13 April 2009
- 45. Who maintains them?
- (Characteristics More Information)
- The National Uniform Claim Committee Code Subcommittee. The NUCC Data Subcommittee also maintains the related Health Care Provider Taxonomy Code Set code list.
- Created on 13 April 2009
- 46. Where are they used?
- (Characteristics More Information)
- Provider Characteristics and Resources Code Set Usage In the 274 Health Care Provider Information, it is used in the CRC segment for EFI Processing Status Additional in CRC03 through CRC07. In both ...
- Created on 13 April 2009
- 47. Provider Characteristics Code List
- (Provider Characteristics)
- Health Care Provider Characteristics Codes 10 Provider has a medical condition that impairs or limits him/her to practice Effective 1/1/2004 11 Provider receives public funding ...
- Created on 13 April 2009
- 48. Help Form
- (Provider Taxonomy)
- Health Care Provider Taxonomy Code Set Help In order to obtain a National Provider ID (NPI) you must provide at least one Health Care Provider Taxonomy code. If you have Questions about the NPI, ...
- Created on 06 March 2009
- 49. Is there background information?
- (Taxonomy More Information)
- ... and coding an external provider code set that would be able to codify provider type and provider area of specialization for all health care related providers. CMS' intent was to provide a single coding ...
- Created on 01 March 2009
- 50. New Codes - 7/1/2019
- (Provider Taxonomy)
- ... provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, ...
- Created on 01 March 2009