December 2016

Reminder: Taxonomy Number Required on Claims Submissions

Effective Oct. 1, 2016, providers are now required to include taxonomy numbers on all claim submissions. Claims submitted without the taxonomy number will be denied.

Providers who submit claims on a CMS-1500 form should include the taxonomy number in the following fields:

• Paper submission: Box 24 J
• Electronic submission: Loop PRV Segment 03

Providers who submit claims on a UB-04 form should include the taxonomy number in the following fields:

• Paper submissions: Box 57
• Electronic submissions: Loop PRV Segment 03

Our mailing, and complaints and appeals addresses are listed below.

CLAIMS MAILING ADDRESS
Blue Cross and Blue Shield of Texas
P.O. Box 51422
Amarillo, TX 79159-1422

APPEALS MAILING ADDRESS
Blue Cross and Blue Shield of Texas
Attn: Complaints and Appeals Department
P.O. Box 27838
Albuquerque, NM 87125-7838

Fax: 855-235-1055
Email: GPDTXMedicaidAG@bcbsnm.com

If you have questions or concerns, please contact Customer Service at 877-560-8055.