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
Tips:
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
Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules , Eligibility, Deductibles, Allowable, Procedure Codes , Phone Number, Denial, Address, Medicare Appeal, EOB, ICD, Appeal.
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