Missing/Invalid Provider TaxonomyRejection messages include, but are not limited to:
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This rejection states that the provider specialty code, or taxonomy, is missing or invalid. Provider Taxonomy is set in the user reference for the provider under Provider > Claim Credentials. If the taxonomy is known, it can be manually entered into the field. The user can also select 'Choose..' and find the applicable taxonomy via a searchable menu. The claim can then be rebuilt and resent.
A taxonomy code is required for the rendering provider on all eClaims. Most payers do not want to see a taxonomy code for the billing provider on an eClaim, unless the rendering provider is billing as individual.
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Note: If the provider has more than one user reference, it may be necessary to update more than one account. |