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- 1. 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
- 2. 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
- 3. 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
- 4. 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
- 5. 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
- 6. 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
- 7. 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
- 8. 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
- 9. 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
- 10. 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
- 11. 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
- 12. 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
- 13. 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
- 14. 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
- 15. 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
- 16. New Codes - 1/1/2022
- (Provider Taxonomy)
- ... the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. ...
- Created on 01 March 2009
- 17. New Codes - 1/1/2023
- (Provider Taxonomy)
- ... knowledge and skill in direct patient care to ensure safe and effective use of medications in patients with cardiovascular disease, as members of interprofessional health care teams. Source: Board of Pharmacy ...
- Created on 01 March 2009
- 18. New Codes - 7/1/2023
- (Provider Taxonomy)
- New codes added 7/1/2023, effective 10/1/2023 207SG0207X Under the Allopathic & Osteopathic Physicians; Medical Genetics was added: Medical Biochemical Genetics A medical biochemical ...
- Created on 01 March 2009
- 19. How do I request a change?
- (Taxonomy More Information)
- To request new codes or modifications to existing codes, complete the following form and email it to: This email address is being protected from spambots. You need JavaScript enabled to view it.. Please review the criteria closely and provide all necessary information. Incomplete ...
- Created on 01 March 2009
- 20. How are they maintained?
- (Taxonomy More Information)
- NUCC Health Care Provider Taxonomy Code Set Process Effective 2001, the The National Uniform Claim Committee, NUCC took over the administration of the Health Care Provider Taxonomy code set. Ongoing duties, ...
- Created on 01 March 2009
- 21. Do I have to have the definition source's certification in order to choose the code
- (Taxonomy More Information)
- In many cases, the source of the definition for the provider code is a specific professional organization or credentialing Board. You do not need to have that source's certification to choose the code. ...
- Created on 01 March 2009
- 22. Does choosing a taxonomy code mean I met the licensure/certification requirements for that provider?
- (Taxonomy More Information)
- No. The Health Care Provider Taxonomy codes are self-selected by the provider. Selection of a taxonomy code does not replace any credentialing or validation process that the organization requesting the ...
- Created on 01 March 2009
- 23. Where are they used?
- (Taxonomy More Information)
- 005010X224A2, 005010X223A2, 005010X223A1, Health Care Claim: Dental, Insitutional, & Professional In the PRV segment in the header and detail areas, specifically, PRV03.
- Created on 01 March 2009
- 24. NUCC Data Set and 1500-837P Crosswalk
- (1500)
- NUCC 1500 - 837P Crosswalk Below is a link to the NUCC 1500 - 837P Crosswalk. The NUCC's 1500 Claim Form Map to the X12N Health Care Claim: Professional (837) is a simplified map of the 1500 Item ...
- Created on 13 January 2009
- 25. NUCC Data Set and 1500-837P Crosswalk (2)
- (1500)
- NUCC 1500 - 837P Map The NUCC's 1500 Claim Form Map to the X12N Health Care Claim: Professional (837) is a simplified map of the 1500 Item Number fields to the corresponding data elements in the 837P ...
- Created on 13 January 2009
- 26. Can I have information pre-printed on our claim forms so I don't have to re-enter it each time
- (1500 Claim Form: Frequently Asked Questions)
- Any information that you have pre-printed on your forms should be information that will remain the same regardless of the payer you are submitting to. One example may be the Billing Provider Information. ...
- Created on 04 May 2007
- 27. Do I have to use a form that is in red ink or can I use a form that is copied or printed in black?
- (1500 Claim Form: Frequently Asked Questions)
- ... image is easier and faster to process with data capture automation such as ICR/OCR (Intelligent Character Recognition/Optical Character Recognition) software. Your vendor may choose not to process claim ...
- Created on 12 November 2006
- 28. 1500 Instructions (2)
- (1500)
- ... email completed 1500 Claim Forms to the NUCC. The NUCC does not process claims. Send completed forms to the appropriate payer. 1500 Instruction Manual Changes The following is a change log of updates ...
- Created on 21 October 2006
- 29. Condition Codes
- (General)
- Condition Codes The following lists of Condition Codes are valid for use on the 1500 Health Care Claim Form and in the 837 Professional transaction. Expanded Access and Emergency Use Authorization ...
- Created on 13 October 2005
- 30. Definitions
- (General)
- Definitions The following definitions apply to terms used in the Professional Claim. PROVIDER TERMS Referring Provider The Referring Provider is the individual who directed the patient for ...
- Created on 13 October 2005
- 31. Contact Us
- (Structure)
- Contact Us DO NOT email patient health care claim forms to the NUCC. The NUCC does not process health care claims. Contact the payer that is responsible for processing the claim. For general inquiries ...
- Created on 13 October 2005
- 32. NUCC Bylaws
- (Structure)
- ... Membership organizations Membership selection process Voting privileges Duties of the chair and secretary Change request process for data sets and HIPAA transactions Overview of meeting processes ...
- Created on 13 October 2005
- 33. Health Care Provider Taxonomy
- (Provider Taxonomy)
- ... codes are not used to define services rendered, but instead are used to define area of specialty. Providers need to determine the most appropriate taxonomy code(s) for them, which is a business decision ...
- Created on 23 July 2005
- 34. 1500 Claim Form (3)
- (1500)
- ... Claim Form DO NOT email completed 1500 Claim Forms to the NUCC. The NUCC does not process claims. Send completed forms to the appropriate payer. To receive copies of the 02/12 1500 Claim Form, contact: ...
- Created on 23 July 2005