Claim Rejections

Billing Provider Taxonomy Code Required. (RC190)

Rejection: Payer Specific Edit: Billing Provider Taxonomy Code Required. (RC190)

What happened: Billing taxonomy was not sent in box 81 CC (UB04) or box 33 (HCFA).

Resolution: This is a payer specific requirement. On a HCFA, in box 33, there is a specific box: 'Billing Provider Specialty/Taxonomy'. On a UB04, the billing taxonomy goes in the first line of box 81 with the B3 qualifier (see attached pictures below). Add the taxonomy codes and update the claim.

taxonomy code (hcfa).jpg|taxonomy code (ub04).jpg