Hi, Julie, A plan must receive standard data in the 837, but need not accept that data into their system, right? If the business rules dictate, and the contract with the provider specifies that the provider's claims will be processed with a consistent taxonomy code, would that not overrule any taxonomy value that might be sent in a particular claim?
Erin Harris Deltanet, Inc. ----- Original Message ----- From: "Julie Thompson" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]> Cc: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]> Sent: Tuesday, October 02, 2001 7:50 AM Subject: Re: Identifying Provider Taxonomy Codes on 837 > 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. > > > ********************************************************************** > To be removed from this list, send a message to: [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. > > > > _________________________________________________________________ > Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp > > > ********************************************************************** > To be removed from this list, send a message to: [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. > > ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
