Taxonomy Codes Required on Electronic Claims

Information posted June 11, 2007: The Health Care Provider Taxonomy Code Set is an external, nonmedical collection of alphanumeric codes designed to classify health care providers by provider type and specialty. It is critical that the taxonomy code selected as the primary or secondary taxonomy code during attestation is included in all electronic submissions to TMHP. For example, the taxonomy code attested with TMHP must be the same taxonomy code recorded on the claim. NPI-only claims that are submitted without a taxonomy code will be rejected. Taxonomy codes do not affect pricing or the level of pricing; they are used to crosswalk the NPI to a Texas Provider Identifier (TPI). Refer to the 2007 National Provider Identifier (NPI) Special Bulletin, No. 202 article titled ”Crosswalk Solution Developed for Claims Processing," located on page 9. For more information about the requirements for taxonomy codes on electronic claims, call the TMHP Contact Center at 1-800-925-9126.