As previously communicated, Independence requires the use of taxonomy codes
to ensure proper claims processing. If your group National Provider Identifier
(NPI) is associated with more than one Independence 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 Independence. Failure to submit claims with the applicable
NPI and correct correlating taxonomy code may result in incorrect claims
processing and/or payment delays.
The following examples 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