MedicaidAdministrativeMedium impact
Changes to Taxonomy Code Qualifier Requirements for the Paper 1500 Health Insurance Claim Form and UB-04 Claim Form
Wisconsin Medicaid (ForwardHealth)·WI·Billing
Effective date
Jun 1, 2012
We identified it
Jun 20, 2026
Summary
ForwardHealth (Wisconsin Medicaid) now accepts new taxonomy code qualifiers for paper claim forms: 'ZZ' for 1500 forms and 'B3' for UB-04 forms, in addition to the existing 'PXC' qualifier. This provides billing teams with additional options for submitting taxonomy codes on paper claims.
Action Required
Immediately: Billing team may optionally update paper claim submission procedures to use new taxonomy code qualifiers. For 1500 forms, can use 'ZZ' qualifier in Element 33b and 24I. For UB-04 forms, can use 'B3' qualifier in Form Locator 81a. Continue using existing 'PXC' qualifier for electronic 837 transactions. No action required as existing 'PXC' qualifier remains valid.