Hi Scott, There have been many, many emails on this topic. I have summarized below my understanding for professional claims from all the input.
1. Per the 837P addenda, the requirement for taxonomy number is at the discretion of each individual payer. 2. Some payers, probably Medicaid programs, will require taxonomy numbers for billing and performing providers since the payment amount to the provider could be impacted by the specialty of the provider performing the service (e.g., some services are paid at a higher rate if performed by a specialist rather than a general practitioner). 3. No payers to date have indicated that they will need the taxonomy numbers for referring providers since this information would not impact the payment made on the claim. 4. The individual payer's requirements for taxonomy numbers will be defined in their companion guides. If anyone has any further clarifications on this, please post them. Thank you, Kathy Carlin, Principal Consultant Siemens Medical Solutions UCLA Phone 310-301-5219 UCLA email: [EMAIL PROTECTED] Siemens Voicemail 610-219-2067 Siemens email: [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] Sent: Thursday, January 30, 2003 2:28 PM To: WEDI SNIP Transactions Workgroup List Subject: 837P Billing/Pay-To Provider Specialty Information I would appreciate any help on this - the IG states that this segment is "required when adjudication is known to be impacted by the provider taxonomy code", etc. Can anyone clarify for me? --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [email protected] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
