Issued: December 6, 2022
What is happening?
Some Medicaid claims are denying at the state level as “taxonomy invalid for claim form.” This is due to a taxonomy edit activation.
Medicaid professional claims will begin to deny with the Jan. 1, 2023, claims submission for the affected taxonomy codes. Partners is identifying all claims with an approved status that were submitted between July 26 and the current claims period. Claims will be re-adjudicated to deny.
What do providers need to do?
Providers will need to submit new claims using an appropriate taxonomy code by the close of business on Feb. 10, 2023.
Providers should not use the taxonomy codes below when submitting professional claims (CMS1500 OR 837p):
251E00000X
251G00000X
261QE0700X
275N00000X
282N00000X
282NC0060X
283Q00000X
284300000X
313M00000X
314000000X
315P00000X
320800000X
323P00000X
3416A0800X
3416L0300X
3416S0300X
Who can providers contact if they have questions?
Providers can email questions to ClaimsDepartment@PartnersBHM.org