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):
Who can providers contact if they have questions?
Providers can email questions to ClaimsDepartment@PartnersBHM.org