Medicare_Claims_Processing_Manual / 2901

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This Medicare Claims Processing Manual transmittal from CMS covers an October 2003 update to the Health Care Provider Taxonomy Code code set. It is relevant for Medicare contractors, claims processing staff, and organizations that maintain provider classification tables or electronic transaction systems. The article focuses on background information, summary-level change information, effective and implementation dates, and the taxonomy categories affected in the update.

Why This Topic Matters

Provider taxonomy updates affect how health care providers are classified in electronic health care transactions and related system tables. Keeping these references current helps support accurate data maintenance and transaction processing.

Article Sections

  1. General Information

    Provides background on the code set, its publication schedule, and where the updated version can be obtained.

  2. Policy: Summary of Changes for Version 3.1

    Summarizes the scope of the version update and identifies the broad provider categories affected.

  3. Instructions to Carriers

    Describes the operational update and maintenance expectations for contractors receiving the new version.

  4. Business Requirements

    Contains the administrative requirements framework associated with the transmittal.

  5. Supporting Information & Possible Design Considerations

    Includes supporting implementation notes and design-related administrative sections.

  6. Schedule, Contacts, and Funding

    Lists the effective and implementation dates along with contact and funding information.

  7. New HPTCs and definitions for version 3.1 (Effective October 1, 2003)

    Presents the updated taxonomy categories and the associated provider classification entries included in the release.

What You Will Learn

  • How the 2003 taxonomy update is framed by CMS
  • Which broad provider categories are included in the update
  • What implementation and effective date information is provided
  • Which organizations and distribution sources are referenced for the code set release
  • How the manual presents the taxonomy entries and associated classification structure

Who Should Read This

  • Medicare contractors
  • Claims processing staff
  • Health information management professionals
  • Provider enrollment and data maintenance staff
  • Healthcare IT teams supporting transaction tables

Codes Discussed


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