Prime Clinical Systems

 

 

August 12, 2011

  

  

Dear Client,  

                                                 

                                                    Effective immediately:   

           A Taxonomy Code is Now Required in Order to Bill to Blue Shield

 

 

To confirm that your clinic is set up correctly, please verify the following:

 

1.   On the Utility/Set Up/Parameter screen:

 

•  If your Billing Method is C/Clinic, make sure to enter the taxonomy code in the <Taxonomy Code> field on the Utility/Set Up/Clinic screen.
Note: See Steps To Add A Taxonomy Code below.

•  If your Billing Method is D/Doctor, enter the taxonomy code in the <Taxonomy> field on the Utility/Provider screen for each Provider.

 

2.   Once the taxonomy codes are entered, go to the Utility/Insurance screen and make sure the <Taxonomy> field is set to 'Y'es for all Blue Shield insurance codes.

 

 

 

Steps To Add A Taxonomy Code

 

1.   Go to Utility/Set Up/Field Choices/Modify.
Note: Only users with a "high" security level will have the 'Set up' menu option.

 

2.   Enter 'CL_TAXONOMY' in the <Field Name> field, press [Enter].

 

3.   Check the <Field Value> column for your taxonomy code.
Note: If you do not know your taxonomy code see How To Lookup A Taxonomy Code (2 Options) below.

 

4.   Your cursor will be in the CMD column. Press 'A'dd to add a new record. Enter 'N' in the <Custom(Y/N)> column and press [Enter]. Enter your taxonomy code in upper case in the <Field Value> column, press [Enter]. Then enter the taxonomy description in the <Description> column and press [Enter]. Once your cursor is in the CMD column again you may exit this screen.  

 

 


How To Lookup A Taxonomy Code (2 Options)

 

It is possible to look up taxonomy codes either  from the NPPES website or the Taxonomy website, as follows:

 

I. NPPES Website

 

1.  Go to https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do

 

2.  Under 'Search the NPI Registry', select one of the following:

 

•  Search for an Individual Provider 

•  Search for an Organizational Provider

    

3.  Enter your NPI and select 'Search'.

 

4.  Verify the displayed information.  

 

5.  Look under 'Provider Taxonomy' for the taxonomy code. 

 

--- OR ---

 

II. Taxonomy Website

 

1.  Go to http://www.wpc-edi.com/content/view/793/1 

 

2.  Look under the Health Care Provider Taxonomy Code Set.

 

 


Please do not hesitate to call should you have questions or need additional information.


Sincerely,

 

 

   

Prime Clinical Systems, Inc.

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