BCBS Mental Health Provider Taxonomy Codes
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When submitting claims to Blue Cross Blue Shield (BCBS), it is crucial to use the correct taxonomy codes. Taxonomy codes are a standardized system of identifying provider specialties and subspecialties. They play a vital role in ensuring accurate claim processing, appropriate reimbursement, and compliance with state and federal regulations.
Why Correct Taxonomy Codes Matter:
Accurate Claim Processing:
- Using the correct taxonomy codes ensures that claims are processed accurately and efficiently. Incorrect codes can lead to claim denials or delays, which can affect cash flow and revenue for your practice.
Appropriate Reimbursement:
- Taxonomy codes help insurers determine the appropriate reimbursement rates for services provided. Accurate coding ensures that you receive the correct payment for the services you render.
- Taxonomy codes help insurers determine the appropriate reimbursement rates for services provided. Accurate coding ensures that you receive the correct payment for the services you render.
Compliance with Regulations:
- Proper use of taxonomy codes ensures compliance with state and federal regulations. Non-compliance can result in audits, fines, or other penalties.
- Proper use of taxonomy codes ensures compliance with state and federal regulations. Non-compliance can result in audits, fines, or other penalties.
Enhanced Communication:
- Taxonomy codes facilitate clear communication between healthcare providers and insurance companies. They provide a common language that helps prevent misunderstandings and errors.
- Taxonomy codes facilitate clear communication between healthcare providers and insurance companies. They provide a common language that helps prevent misunderstandings and errors.
Improved Data Analysis:
- Accurate coding allows for better data collection and analysis, which can be used to improve patient care, manage resources, and support healthcare research.
Mental Health Related Professional Taxonomy Codes
Here is a table of mental health-related professional taxonomy codes, including labels and descriptions:
| Provider Specialty | Taxonomy Code | Description |
|---|---|---|
| Certified Social Worker | 104100000X | Behavioral Health and Social Service Providers – Social Worker |
| Child/Adolescent Psychiatric Nursing | 364SP0807X | Clinical Nurse Specialist – Psychiatric/Mental Health, Child & Adolescent |
| Clinical Psychologist | 103TC0700X | Behavioral Health and Social Service Providers – Psychologist – Clinical |
| Licensed Behavior Analyst | 103K00000X | Licensed Behavior Analyst, Mental Health, and Counseling |
| Licensed Marriage Family Therapist | 106H00000X | Behavioral Health & Social Service Providers – Marriage and Family Therapy |
| Licensed Professional Counselor | 101Y00000X | Behavioral Health and Social Service Providers – Licensed Professional Counselor |
| Limited License Psychologist | 103T00000X | Behavioral Health and Social Service Providers – Psychologist |
| Outpatient Psychiatric Facility | 261QM0801X | Ambulatory Health Facility – Clinic/Center – Mental Health |
| Psychiatry and Neurology | 2084P0800X | Allopathic and Osteopathic Physicians – Psychiatry and Neurology |
| Psychosomatic Medicine | 2084P0015X | Psychiatry and Neurology, Psychosomatic Medicine |
Using the correct taxonomy codes is essential for the smooth operation of your practice, especially when dealing with insurance claims. Make sure to reference the above codes and descriptions to ensure accuracy in your submissions to BCBS.
For more information or assistance with taxonomy codes and claims submissions, please contact reach out to your BCBS provider representative.