How does RidgeMark handle taxonomy code exceptions?
Taxonomy code exceptions work similar to the Accept Assignment exceptions. When a taxonomy code is required that is different from the default taxonomy code (located in the provider details screen), the Taxonomy Exceptions logic can be used. Exceptions at the lowest granular level (Insurance, Provider, and CPT codes are all defined) will take precedence over exceptions defined at higher levels of granularity. Any exception found will take precedence over the default value set in the Provider Details.
Related Questions
- May the Billing Provider Loop for the X12 837P be used to report a provider Taxonomy Code for a non-individual provider when the usage notes in the adopted Version of the Implementation Guide requires reporting only in certain situations?
- The National Plan and Provider Enumeration System (NPPES) requires a Taxonomy Code for an NPI application to be processed. Where do I get the Taxonomy information?
- When a facility has two provider numbers, how is Medi-Cal going to determine between them when both have the same taxonomy code?
