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


  1. Navigate to Management Center > Claim Rules
  2. Click "Create Claim Form Rule".
  3. Select the Practice.
  4. Name the claim rule.
  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.
  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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