Many providers are certified in more than one specialty, requiring the 
taxonomy code to be claim specific.

Such as an oncoloist, who is also, a hematologist.
Or, an orthopedic surgeon, who is also, a podiatrist.

This vendor needs to comply with the HIPAA requirement to process the 
taxonomy as sent on the 837.



Julie A. Thompson


From: "Chuck  Wunderlich" <[EMAIL PROTECTED]>
Reply-To: <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>
CC: "Melissa Schoen" <[EMAIL PROTECTED]>, "Rhonda Carson" 
<[EMAIL PROTECTED]>, "Dave Rein" <[EMAIL PROTECTED]>
Subject: Identifying Provider Taxonomy Codes on 837
Date: Mon, 1 Oct 2001 13:46:33 -0700

We use a standard software package used by many other payers for processing
claims. Our vendor has chosen to only include the provider taxonomy code as
a "static" field in the provider contract table, rather than accepting the
code as billed by the provider on an 837. Therefore, we can only assign a
taxonomy code to a claim in our database by a relational link rather than
having the taxonomy code stored on the claim itself. I would like to hear
what others think about the acceptability of this approach as opposed to
requiring that the our database accept whatever taxonomy code a provider
chooses to submit on the 837.


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