NPI number and taxonomy codes required Aug. 1, 2024
Starting Aug. 1, 2024, UnitedHealthcare Community Plan of New York health care professionals must include a National Provider Identifier (NPI) number and taxonomy code when submitting claims.
How to obtain an NPI number and register your taxonomy code
- Apply for an NPI number with the National Plan and Provider Enumeration System (NPPES)
- During the application process, you will register your taxonomy code with NPPES
- Once approved, NPPES will send you a confirmation notice with your assigned NPI number
- You can have multiple taxonomy codes, but each one must be registered with NPPES
- Make sure to use the correct registered taxonomy code that matches your specialty when submitting claims
Check the NPI Registry website to review your current NPI number and taxonomy status or view a list of provider taxonomy codes.
Submitting a claim
We suggest submitting claims electronically. If the taxonomy code is missing on an electronic submission, we will reject the claim as incomplete. However, if you submit a paper claim missing the taxonomy code, we will deny the claim. You can resubmit both electronic and paper claims to include a missing taxonomy code.
Claim submission resources
You can find HIPAA Companion Guides for Electronic Data Exchange (EDI) transactions to assist with this process. These guides provide specific technical details to help ensure your electronic transactions are processed effectively and efficiently.
Questions?
For questions about NPI technical requirements or EDI, complete the contact form or email supportedi@uhc.com.
If you have general questions, connect with us through chat 24/7 in the UnitedHealthcare Provider Portal. For additional contact information, visit our Contact us page.
PCA-1-24-01865-POE-NN_06142024
