Taxonomy guide for CMS 1500 from wellcare insurance

Wellcare -Taxonomy Guide

In accordance with SNIP level 4 edits, a valid taxonomy is a requirement for all providers when submitting both paper and electronic claims. This guide will provide basic information to further instruct and educate all providers in assistance with taxonomy submittals.

Taxonomy code is constructed of 10 digits- numeric and alpha: (see example 1)

Placement of Taxonomy and Qualifier

 Qualifiers are to be included on both paper and electronic claims for proper submission of claims
 Provider should be billing with the taxonomy that is filled with DCH

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