National Uniform Claim Committee

51. 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
52. 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
53. 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
54. 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
55. Call for Applications for Open Vendor Seat: (Announcements); ... organizations interested in serving as a member of the committee. Candidates must be a vendor organization or association in professional provider IT billing systems. The deadline for submitting an application ...; Created on 03 January 2012
56. 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
57. 2020 Annual 1500 Instruction Manual Released: (Announcements); ... information on the 1500 Health Insurance Claim Form Reference Instruction Manual, email This email address is being protected from spambots. You need JavaScript enabled to view it.. Do NOT email, fax, or mail completed 1500 Claim Forms to the NUCC. The NUCC does not process ...; Created on 28 June 2010
58. 2021 Updated NUCC 1500 Instruction Manual Released: (Active - Home Page); ... Insurance Claim Form Reference Instruction Manual, see the 1500 Claim Form tab. Do NOT email, fax, or mail completed 1500 Claim Forms to the NUCC. The NUCC does not process claims. Send completed forms ...; Created on 28 June 2010
59. 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
60. Help Form: (Provider Characteristics); ... hours. Your Email Address Your Question Phone Number Alternate Phone ...; Created on 13 April 2009
61. 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
62. 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
63. Help Form: (Provider Taxonomy); ... Questions will be answered within 24 to 72 hours. Your Email Address Your Question Alternate Phone ...; Created on 06 March 2009
64. 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
65. 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 Provide ...; Created on 01 March 2009
66. 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
67. 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
68. 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
69. 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
70. 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
71. 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
72. 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
73. 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
74. 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
75. 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
76. 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
77. 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 837 ...; Created on 13 January 2009
78. 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
79. 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 13 November 2006
80. 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
81. 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 14 October 2005
82. 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 14 October 2005
83. 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 14 October 2005
84. 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 14 October 2005
85. Health Care Provider Taxonomy: (Provider Taxonomy); ... ) application for enumeration. Effective 2001, the NUCC took over the administration of the code set. Ongoing duties, including processing taxonomy code requests and maintenance of the code set, fall und ...; Created on 24 July 2005
86. 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 24 July 2005

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