UnitedHealthcare North Carolina Medicaid: Billing Taxonomy Code and NPI Now Mandatory

Starting January 9, 2025, UnitedHealthcare will reject claims submitted for North Carolina Medicaid participants if the billing taxonomy code and registered National Provider Identifier (NPI) is not covered. Previously, claims lacking the taxonomy code have been denied; the upcoming exchange emphasizes strict compliance with kingdom Medicaid necessities.

Mandatory Fields for Claims

Providers must ensure the subsequent whilst filing claims:

• Billing Taxonomy and Registered NPI: Required for both expert and institutional claims. Claims missing either of those fields will be rejected.
• Rendering Taxonomy: Applies to professional claims only. It is needed whilst a rendering NPI is submitted to discover the healthcare professional who executed the service.
• Attending Taxonomy: Applies to institutional claims most effectively. It is required whilst an attending NPI is covered to become aware of the healthcare expert responsible for the member’s basic care.

While the taxonomy discipline can also appear elective on online paperwork, North Carolina Medicaid mandates its inclusion for correct claim processing.

How to Prepare

Providers are encouraged to review their claim submissions to ensure compliance and avoid rejections. Additional steering is to be had inside the North Carolina Claim Submission Interactive Guide.

Support Available

For assistance with claims or extra inquiries, carriers can connect with UnitedHealthcare’s 24/7 chat help through the Provider Portal or go to the Contact Us page for greater records.

This update displays UnitedHealthcare’s commitment to keeping correct and efficient claim submissions while helping compliance with North Carolina Medicaid requirements.