- Taxonomy Code List July 2019
- National Ultimate Claim Form NUCC Taxonomy Code Set July 2019
- Health Care Provider Taxonomy Code Set July 2019
- NPI Lookup
- CMS 1500
- CMS 1500 Claim Form
- Taxonomy Codes
- HCFA 1500
- Taxonomy Definition
- Health Care Provider
- Taxonomy Code List
NUCC Health Provider Taxonomy Code Set 2019-01
This dataset shows the Health Care Provider Taxonomy code set. These code set are a collection of unique alphanumeric codes, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization.
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The Health Care Provider Taxonomy code set is an external, nonmedical data code set designed for use in an electronic environment, specifically within the ASC X12N Health Care transactions. This includes the transactions mandated under HIPAA.
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization.
The National Uniform Claim Committee (NUCC) is presently maintaining the code set. It is used in transactions specified in HIPAA and the National Provider Identifier (NPI) application for enumeration. Effective 2001, the NUCC took over the administration of the code set. Ongoing duties, including processing taxonomy code requests and maintenance of the code set, fall under the NUCC Code Subcommittee. The Health Care Provider Taxonomy code set allows a single provider (individual, group, or institution) to identify their specialty category. Providers may have one or more than one value associated with them. When determining what value or values to associate with a provider, the user needs to review the requirements of the trading partner with which the value(s) are being used.
About this Dataset
John Snow Labs; National Uniform Claim Committee (NUCC);
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NPI Lookup, CMS 1500, CMS 1500 Claim Form, Taxonomy Codes, HCFA 1500, Taxonomy Definition, Health Care Provider, NUCC, Taxonomy, Taxonomy Code List
Taxonomy Code List July 2019, National Ultimate Claim Form NUCC Taxonomy Code Set July 2019, Health Care Provider Taxonomy Code Set July 2019
|Code||Taxonomy code set is a collection of unique alphanumeric codes, ten characters in length.||string||required : 1|
|Grouping||The code set is structured into three distinct "Levels" and one of it is “Provider Grouping”. Level I, Provider Grouping: A major grouping of service(s) or occupation(s) of health care providers. For example: Allopathic & Osteopathic Physicians, Dental Providers, Hospitals, etc.||string||required : 1|
|Classification||The code set is structured into three distinct "Levels" and one of it is “Classification”. Level II, Classification: A more specific service or occupation related to the Provider Grouping. For example, the Classification for Allopathic & Osteopathic Physicians is based upon the General Specialty Certificates as issued by the appropriate national boards. The following boards will however, have their general certificates appear as Level III areas of specialization strictly due to display limitations of the code set for Boards that have multiple general certificates: Medical Genetics, Preventive Medicine, Psychiatry & Neurology, Radiology, Surgery, Otolaryngology, Pathology.||string||required : 1|
|Specialization||The code set is structured into three distinct "Levels" and one of it is “Area of Specialization”. Level III, Area of Specialization: A more specialized area of the Classification in which a provider chooses to practice or make services available. For example, the Area of Specialization for provider type Allopathic & Osteopathic Physicians is based upon the Subspecialty Certificates as issued by the appropriate national boards. The Health Care Provider Taxonomy code set Levels are organized to allow for drilling down to the provider's most specific level of specialization. The ten digit codes for each provider category are unique and contain no embedded logic. The codes and categories are to be used exactly as they are assigned in the Taxonomy list. At no time should codes be separated to form new codes, parsed apart, or edited on any one position within the code. See "How do I request a change?" if you identify a need for a provider category.||string||-|
|Definition||Defining the code at each level.||string||-|
|Notes||Footnotes on updates, revision and addition of new code.||string||-|