As previously communicated, IBC is in the process of transitioning its
membership to a new operating platform. During
this transition, which began in November 2013 and will continue through
mid-2015, we will be working with you in a
dual claims-processing environment. As part of this transition, the use of
taxonomy codes is required to ensure proper
claims processing.
Using taxonomy codes
If your group National Provider Identifier (NPI) is associated with more
than one IBC specialty, you must include the
appropriate provider taxonomy code in addition to the NPI on all claims. This
allows the accurate application of the
provider?s contractual business arrangements with IBC. Failure to submit claims
with the applicable NPI and correct
correlating taxonomy code may result in incorrect claims processing and/or
payment delays.
The examples below illustrate how to correctly submit your taxonomy code:
Example 1
Incorrect billing practice
Billing NPI
Specialty description
Taxonomy code
Taxonomy description
12345XXXXX
Durable medical equipment
332B00000X
Durable medical equipment
Rendering NPI
Specialty description
Taxonomy code
Taxonomy description
11223XXXXX
Durable medical equipment
333600000X
Pharmacy
Correct billing practice
Billing NPI
Specialty description
Taxonomy code
Taxonomy description
12345XXXXX
Durable medical equipment
332B00000X
Durable medical equipment
Rendering NPI
Specialty description
Taxonomy code
Taxonomy description
11223XXXXX
Durable medical equipment
332B00000X
Durable medical equipment
Example 2
Incorrect billing practice
Billing NPI
Specialty description
Taxonomy code
Taxonomy description
12345XXXXX
Home infusion/Durable medical equipment
3336H0001X
Home infusion/Durable medical equipment
Rendering NPI
Specialty description
Taxonomy code
Taxonomy description
11223XXXXX
Home infusion/Durable medical equipment
333600000X
Pharmacy
Correct billing practice
Billing NPI
Specialty description
Taxonomy code
Taxonomy description
12345XXXXX
Home infusion/Durable medical equipment
3336H0001X
Home infusion/Durable medical equipment
Rendering NPI
Specialty description
Taxonomy code
Taxonomy description
11223XXXXX
Home infusion/Durable medical equipment
3336H0001X
Home infusion/Durable medical equipment
For more visit our Business Transformation section of the IBC
website. Here you will find a communication archive and frequently
asked questions.