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Electronic Claims Update for Group Billing Providers
Information posted March 14, 2008: Effective April 25, 2008, group billing providers that submit National Provider Identifier (NPI)-only claims for professional and dental services are no longer required to submit the taxonomy code they provided during attestation. Electronic claims that do not contain the group billing provider taxonomy code will no longer be rejected. Group billing providers can continue to send the taxonomy code to assist with the NPI crosswalk. Click on the title to view the details.

Billing providers that are not associated with a group are required to continue submitting a taxonomy code on all electronic claims. TMHP will reject NPI-only claims for non-group billing providers (individuals and facilities) that are submitted without a taxonomy code.

The professional (837P) and dental (837D) Electronic Data Interchange (EDI) Companion Guides will be updated to reflect this change. The EDI Companion Guides are available on the EDI page of this website.

For more information, call the TMHP Contact Center at 1-800-9925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.
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