Attention New York Healthcare Providers: Mandatory NPI and Taxonomy Code Submission for UnitedHealthcare Claims Starting August 1st
For healthcare providers providing services under the UnitedHealthcare Community Plan of New York, there is a significant update. As seen from August 1, 2024, all claims submitted must contain a National Provider Identifier number and appropriate taxonomy code. It is vital that your claims could be processed correctly and you could be paid in a timely way.
National Provider Identifier is a unique 10-digit number for all covered healthcare providers. Taxonomy code is a 10-character alphanumeric code defining your classification and specialization. Both are vital details that allow United Healthcare to identify you as a provider and this way match the services you are allowed to provide.
How to Obtain and Register Your NPI and Taxonomy Code
First of all, you should get your NPI number through the National Plan and Provider Enumeration System website(NPPES). You will also register your taxonomy code during this process. If you already have an NPI, make sure that your taxonomy code is updated under your specialty.
Another important information for all providers is that starting from August 1, the claims without either NPI or taxonomy code will be rejected for electronic submitters or denied for paper submitters. Therefore, double-check that both codes are included on all claims to avoid inconvenience. You can verify your NPI and taxonomy code status here.
UnitedHealthcare would like to remind you of the requirements for electronic claim submission. Instructions to help you accomplish this and technical specifications appear in the HIPAA Companion Guides for Electronic Data Exchange transactions.
Remember to update this information to ensure accurate and timely processing of your claims, as well as prompt payment for your services. Obtain and register your NPI and taxonomy code now to meet this requirement by the August 1st deadline.
For more information, please refer to the official United Healthcare provider resources and the NPPES website.
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