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Taxonomy Codes on Paper Claims

EmblemHealth·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth has updated requirements for paper claims submission to reduce denials. Providers must use their own registered taxonomy codes from NPPES rather than generic codes, ensure all items are legible without cross-outs or corrections, and use appropriate qualifiers.

Action Required

Action needed
Immediately: Billing team must verify all paper claims use provider's own taxonomy codes registered with NPPES rather than generic codes. Update paper claim submission procedures to ensure legibility with no cross-outs, exaggerated characters, or Wite-Out. Review qualifier usage on all paper claims. Train staff on proper paper claim completion to avoid denials.

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