Search
- 1. Chris Hallauer (Alternate)
- (Contacts / Roster)
- Chris Hallauer (Alternate), Blue Cross Blue Shield Association, Manager, Business Applications Blue Cross Blue Shield Association
- Created on
- 2. Condition Codes 90 and 91 Approved for Use on Professional Claims, Effective Immediately
- (Announcements)
- January 19, 2021 The NUCC has approved the use of Condition Codes 90 and 91 for immediate use on the 1500 Claim Form and in the 837 Professional as follows: 90 - Service provided as part of an Expanded ...
- Created on 03 January 2012
- 3. Codes for COVID-19 Professional Claims
- (Active - Home Page)
- Codes for COVID-19 Professional Claims Condition Codes and Modifier The following Condition Codes and Modifier are available for use on the paper 1500 Claim Form and in the electronic 837 Professional: ...
- Created on 03 January 2012
- 4. 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
- 5. 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
- 6. 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
- 7. New: 1/1/2016
- (Provider Taxonomy)
- ... Prevention Professional was added: Prevention Professional Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, ...
- Created on 01 July 2012
- 8. New: 7/1/2016
- (Provider Taxonomy)
- ... professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations ...
- Created on 01 July 2012
- 9. New: 1/1/2017
- (Provider Taxonomy)
- ... in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Source: ...
- Created on 01 July 2012
- 10. Modified: 1/1/2019
- (Provider Taxonomy)
- ... psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The ...
- Created on 01 July 2012
- 11. Modified: 7/1/2019
- (Provider Taxonomy)
- ... who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition ...
- Created on 01 July 2012
- 12. 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
- 13. Modified: 1/1/2021
- (Provider Taxonomy)
- ... Disturbed Children A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities ...
- Created on 01 July 2012
- 14. Modified: 1/1/2023
- (Provider Taxonomy)
- ... changed to: General Practice A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim ...
- Created on 01 July 2012
- 15. Modified: 7/1/2023
- (Provider Taxonomy)
- ... professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, ...
- Created on 01 July 2012
- 16. Modified: 1/1/2024
- (Provider Taxonomy)
- Modified codes 1/1/2024 122400000X Under the Dental Providers the Denturist definition changed to: Denturist A denturist is a licensed professional that serves patients with removable ...
- Created on 01 July 2012
- 17. 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
- 18. Modifications: 1/1/2016
- (Provider Taxonomy)
- ... services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment ...
- Created on 01 July 2012
- 19. I have a completed claim form. Where do I send it?
- (1500 Claim Form: Frequently Asked Questions)
- Completed claim forms are to be sent to the insurance company, payer, or other entity responsible for paying the claim. The NUCC does not process claims, so completed claim forms should not be sent to ...
- Created on 04 October 2010
- 20. Permission to Use and Distribute the Health Care Provider Characteristics and Resources Code Set
- (Provider Characteristics)
- ... In consideration of this permission, you will not change the Provider Characteristics (except for format and stylistic changes necessary to incorporate the Provider Characteristics in the Products) ...
- Created on 14 April 2009
- 21. 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
- 22. 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
- 23. Provider Characteristics Code List
- (Provider Characteristics)
- ... in another medical establishment Effective 1/1/2004 15 Professional liability coverage has been restricted/terminated/or modified Effective 1/1/2004 16 This is the provider’s primary ...
- Created on 13 April 2009
- 24. 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
- 25. Form Error
- (Provider Taxonomy)
- Error You must enter information for all fields: Organization name Representative's name Representative's title Address City State Zip code Country Telephone Facsimile Web address Email ...
- Created on 01 March 2009
- 26. Permission to Use and Distribute the Health Care Provider Taxonomy Code Set
- (Provider Taxonomy)
- ... permission, you will not change the Provider Taxonomy (except for format and stylistic changes necessary to incorporate the Provider Taxonomy in the Products) or create derivative works of the Provider ...
- Created on 01 March 2009
- 27. Is there background information?
- (Taxonomy More Information)
- ... set. The NUCC has a formal operating protocol, including the Code Subcommittee's processes. The NUCC is a diverse group of health care industry stakeholders representing providers, payers, designated ...
- Created on 01 March 2009
- 28. New Codes - 7/1/2019
- (Provider Taxonomy)
- New codes added 7/1/2019, effective 10/1/2019 1223X2210X Under the Dental Providers; Dentist was added: Orofacial Pain A dentist who assesses, diagnoses, and treats patients with complex ...
- Created on 01 March 2009
- 29. New Codes - 1/1/2021
- (Provider Taxonomy)
- ... use of drama and theatre processes to achieve therapeutic goals. Drama therapists provide psychotherapy for individuals living with mental health and behavioral concerns that may result in psychological ...
- Created on 01 March 2009
- 30. Provider Characteristics New Codes 1-1-2021
- (Provider Characteristics)
- ... 6X This provider offers concierge services for a special fee Effective 4/1/2021 6Y This provider is an Essential Community Provider Effective 4/1/2021 6Z This ...
- Created on 01 March 2009