Skip Ribbon Commands
Skip to main content
Home Administrative Billing & Reimbursement BlueCard® Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

Reminder: Guidelines for billing with taxonomy codes

January 11, 2018

As previously communicated, Independence requires the use of taxonomy codes to ensure proper claims processing. If your group National Provider Identifier (NPI) is associated with more than one Independence 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 Independence. 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

This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
Connect with us     Facebook     Twitter     Flickr     YouTube     Walk the Talk    Independence Pinterest    Independence LinkedIn    Independence Instagram Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer
© 2023 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.