Effective 1 de abril, 2019, BCBSRI will require the provider taxonomy code to be submitted on all claims.
Professional requirements (CMS-1500):
- Paper claims, place in box 33b proceeded with the ZZ qualifier for the billing level
- Paper claim, place in the shaded portion in box 24J
- Paper claim, place qualifier ZZ in box 24I
UB-04 Claims
Institutional requirements (UB04):
• Billing Taxonomy
- Paper claim, box 57
• Rendering Taxonomy
- Not required
Electronic Claims Looping
837I
2000A Loop Billing Provider
PRV Segment- Billing provider specialty information
Example PRV✽BI✽PXC✽282NR1301X~
2310A Loop Attending Provider name
PRV segment- Attending provider specialty Information
Example PRV✽AT✽PXC✽208D00000X~
837 P
2000A Loop Billing Provider
PRV Segment- billing Provider specialty information
Example PRV✽BI✽PXC✽207Q00000X~
2310B- Rendering Provider Claim level
PRV segment- Rendering Provider Specialty information
Example PRV✽PE✽PXC✽1223G0001X~
2420A Rendering Provider- Line level
PRV segment- Rendering Provider Specialty Information
Example PRV✽PE✽PXC✽208D00000X~