As previously communicated, AmeriHealth requires the use of taxonomy codes to ensure proper claims processing. If your group National Provider Identifier (NPI) is associated with more than one AmeriHealth specialty, you must include the appropriate provider taxonomy code in addition to the NPI on all claims. This allows the accurate application of the provider's contractual business arrangements with AmeriHealth. Failure to submit claims with the applicable NPI and correct correlating taxonomy code may result in incorrect claims processing and/or payment delays.

The following examples illustrate how to correctly submit your taxonomy code:

Example 1 Incorrect billing practice Billing NPI Specialty description Taxonomy code Taxonomy description 12345XXXXX Durable medical equipment 332B00000X Durable medical equipment Rendering NPI Specialty description Taxonomy code Taxonomy description 11223XXXXX Durable medical equipment 333600000X Pharmacy Correct billing practice Billing NPI Specialty description Taxonomy code Taxonomy description 12345XXXXX Durable medical equipment 332B00000X Durable medical equipment Rendering NPI Specialty description Taxonomy code Taxonomy description 11223XXXXX Durable medical equipment 332B00000X Durable medical equipment Example 2 Incorrect billing practice Billing NPI Specialty description Taxonomy code Taxonomy description 12345XXXXX Home infusion/Durable medical equipment 3336H0001X Home infusion/Durable medical equipment Rendering NPI Specialty description Taxonomy code Taxonomy description 11223XXXXX Home infusion/Durable medical equipment 333600000X Pharmacy Correct billing practice Billing NPI Specialty description Taxonomy code Taxonomy description 12345XXXXX Home infusion/Durable medical equipment 3336H0001X Home infusion/Durable medical equipment Rendering NPI Specialty description Taxonomy code Taxonomy description 11223XXXXX Home infusion/Durable medical equipment 3336H0001X Home infusion/Durable medical equipment