Claim Form Rule: Adding or Removing Billing Provider Taxonomy Code

  • Updated

What claim change is needed?

Add or remove the Billing Provider's Taxonomy Code. 

Box Number

UB-04, Box 81CCa

CMS-1500: Box 33b

Steps

  1. Navigate to Management Center > Claim Rules
  2. Click "Create Claim Form Rule".
  3. Select the Practice.
    mceclip2.png
  4. Name the claim rule.
    Screen_Shot_2021-05-21_at_4.23.03_PM.png
  5. Set Claim Type to Institutional or Professional depending upon service.
    mceclip1.png  Screen_Shot_2021-05-19_at_12.54.10_PM.png
  6. Set conditions for the claim rule to be met.
  7. Select the Available Behavior: Billing Provider - Taxonomy Code.Screen_Shot_2021-05-21_at_4.23.20_PM.png
  8. Then click Add.
  9. From the Select dropdown arrow, choose Omit, Require and Write to Claim, or Write to Claim if Present.
    Screen_Shot_2021-05-21_at_4.23.33_PM.png
  10. At the bottom of the window, click the Create button.

Related Articles

To read more about how to set claim rule conditions and order, see the Claim Rule: Setting Claim Rule Conditions article.

To read more about how to set up a claim rule to be effective as of a certain date, see the Scheduled Change Sets article.

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