---
title: "​Medicaid Managed Care: Common Billing Errors"
description: See some helpful hints on our blog this week...
image: https://go.northwestahec.wakehealth.edu/hubfs/Claims%20-%20Ring%20Binder%20on%20Office%20Desktop%20with%20Office%20Supplies.%20Business%20Concept%20on%20Blurred%20Background.%20Toned%20Illustration..jpeg
---

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# Practice Support Update Blog

## [​Medicaid Managed Care: Common Billing Errors](https://go.northwestahec.wakehealth.edu/practicesupport/medicaid-managed-care-common-billing-errors)

 Jul 21, 2021 2:17:22 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team)

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**Common Billing Error - Taxonomy Codes Missing, Incorrect or Inactive** 

Health plans have identified a common billing error of providers submitting professional and institutional EDI claims (ASC X12 837-P and ASC X12 837-I) with **missing or invalid billing provider, rendering provider and attending provider taxonomy codes.**    

 

**Adding Billing, Rendering and Attending Provider Taxonomy to Professional and Institutional EDI Claims**  

![Claims - Ring Binder on Office Desktop with Office Supplies. Business Concept on Blurred Background. Toned Illustration.](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Claims%20-%20Ring%20Binder%20on%20Office%20Desktop%20with%20Office%20Supplies.%20Business%20Concept%20on%20Blurred%20Background.%20Toned%20Illustration..jpeg?width=300&name=Claims%20-%20Ring%20Binder%20on%20Office%20Desktop%20with%20Office%20Supplies.%20Business%20Concept%20on%20Blurred%20Background.%20Toned%20Illustration..jpeg)When billing NC Medicaid Direct claims, providers may have directed clearinghouses to append billing provider, rendering provider, or attending provider taxonomy codes to the claims. This process may not have been established for NC Medicaid Managed Care claims being submitted to the prepaid health plans (PHPs), causing these claims to deny for missing or invalid taxonomies.  

More information is available in the Medicaid provider bulletin [here](https://urldefense.com/v3/__https:/r20.rs6.net/tn.jsp?f=001JErznH7GkGVQ9TpsMPXsVy17hcsVguR3SpJ6zH-sNc72IRwxfo_WqRKOSFIsHSfYezmVUtO2Ac0O-zLbRYlcENlzyavDfyRIJBSnjz99HxvYoN9G7nWTYw1end8sUMuyXjlCoBzqR3FWKrWKDk0GXE-h8f0qZtr3_N-AGldPoqvDhBkvFXQ4FBq3LhQlCFeZvKwJNe1mGZAg9DuJICyV_xW7K-Pq2bhEyJbrmKy54Ov8E4lyQO2thW3VZZ7nnmrWs-uy2AN-3Fr1EYHS7M64Nyah_D6dJ_MiwLMRCPCVQlWB5wiZ_3bVHA==&c=P1A8SVZ9q-S3BkzaXyIKp8SE-zvIBvgGPG15YVKq-3OrOZ56-7UlpQ==&ch=YIXS0Hl78ixddaA2QR9NhwIOCXhntC80AJVsLJkRr8YtwfnnDKYBsA==__;!!GA8Xfdg!h0boFTzYY0M1woDlf-OREKa5iN2s5PkencBP7uw920A2UTJhINb90vVJOVbYgR5u$).  

 

Providers should work with their clearinghouses to ensure that the same processes are followed when submitting claims to NC Medicaid Direct and the PHPs.     

To facilitate timely adjudication, providers should include the billing provider taxonomy and, when applicable, the rendering provider taxonomy and attending provider taxonomy on claims before sending them to a clearinghouse.  

- On **professional claims **(ASC X12 837-P) the billing provider taxonomy should be included in EDI loop 2000A and the rendering provider taxonomy, when applicable, should be included in EDI loop 2310B.  
- On **institutional claims** (ASC X12 837-I) the billing provider taxonomy should be included in EDI loop 2000A and the attending provider taxonomy, when applicable, should be included in EDI loop 2310A. 

For claims that have been submitted to PHPs and denied for invalid billing, rendering, or attending provider taxonomy codes, **please immediately resubmit the denied claims using the process outlined above**. For assistance, please follow up with the PHP your agency contracts with.  

Please refer to the July 9, 2021, [Common Billing Error: Taxonomy Codes Missing, Incorrect or Inactive bulletin](https://medicaid.ncdhhs.gov/blog/2021/07/09/common-billing-error-taxonomy-codes-missing-incorrect-or-inactive) for additional guidance on submitting valid taxonomy codes. 

The NCTracks [How to view and update Taxonomy on the Provider Profile in NCTracks User Guide](https://urldefense.com/v3/__https:/www2.ncmedsoc.org/page.redir?target=https*3a*2f*2fwww.nctracks.nc.gov*2fcontent*2fdam*2fjcr*3a2750d77d-b0f9-479f-a4e4-c1b51c554ba4*2fJA*2520-*2520How*2520to*2520How*2520to*2520View*2520and*2520Update*2520Taxonomy*2520on*2520the*2520provider*2520profile*2520in*2520NCTracks*252020170531.pdf&srcid=39836&srctid=1&erid=8857701&trid=f9083099-68d3-4702-95fb-c9bf0171e739__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUl!!GA8Xfdg!llfWqru3izJL5eoHzdNTpTusHJqWHy5wCTrUXx5sSqiP6qaviXPxR047JB8NVCGM$) provides additional information on how to view and update taxonomy on the provider profile.   

 

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- [Provider Enrollment (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/provider-enrollment)
- [Value based contracting (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/value-based-contracting)
- [Wellness (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/wellness)
- [advance care planning (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/advance-care-planning)
- [artificial intelligence (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/artificial-intelligence)
- [burnout (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/burnout)
- [chronic conditions (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-conditions)
- [crisis (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/crisis)
- [finance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/finance)
- [financial assistance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/financial-assistance)
- [flu season (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/flu-season)
- [foster care (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/foster-care)
- [funding (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/funding)
- [harm reduction (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/harm-reduction)
- [health careers (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-careers)
- [health professionals (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-professionals)
- [hospital (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hospital)
- [intake (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intake)
- [leadership (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/leadership)
- [management (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/management)
- [medical provider (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medical-provider)
- [memory (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/memory)
- [monoclonal antibodies (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/monoclonal-antibodies)
- [north carolina (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/north-carolina)
- [nurse practitioners (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nurse-practitioners)
- [payment (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payment)
- [podcast (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/podcast)
- [prenatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prenatal)
- [psychology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychology)
- [seniors (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/seniors)
- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
- [social work (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-work)
- [stress (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stress)
- [students (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/students)
- [technology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/technology)
- [women's health (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/womens-health)
- [youth (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/youth)
- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
- [988 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/988)
- [ACA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aca)
- [AI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ai)
- [CAP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cap)
- [CNA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cna)
- [CSRS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/csrs)
- [Case Management (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/case-management)
- [Community Health Worker (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/community-health-worker)
- [Fetal Alcohol Spectrum Disorders (FASD) (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fetal-alcohol-spectrum-disorders-fasd)
- [Free and Charitable Clinics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/free-and-charitable-clinics)
- [HEDIS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hedis)
- [HIPAA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hipaa)
- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
- [Healthcare Insights (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare-insights)
- [Heart Health Now (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health-now)
- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
- [Keeping Kids Well (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/keeping-kids-well)
- [MVP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mvp)
- [Medicine (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicine)
- [NCPHC (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncphc)
- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
- [Obstetrics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/obstetrics)
- [PECOS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pecos)
- [PPE (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ppe)
- [PTSD (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ptsd)
- [Pfizer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pfizer)
- [RSV (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rsv)
- [Relief Fund (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/relief-fund)
- [SAMHSA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/samhsa)
- [SOGI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sogi)
- [STD Update (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/std-update)
- [STUN (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stun)
- [TPM (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tpm)
- [access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/access)
- [aggression (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aggression)
- [antigen test (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/antigen-test)
- [atrium health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/atrium-health)
- [autism (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/autism)
- [breast cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/breast-cancer)
- [broadband access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/broadband-access)
- [care transitions (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/care-transitions)
- [carolina access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-access)
- [carolina complete (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-complete)
- [chronic kidney disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-kidney-disease)
- [climate change (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/climate-change)
- [cognitive impairment (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cognitive-impairment)
- [colon cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/colon-cancer)
- [compliance (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/compliance)
- [conversation (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/conversation)
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- [cultural humility (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cultural-humility)
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- [demographics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/demographics)
- [discrimination (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/discrimination)
- [diversity and inclusion (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/diversity-and-inclusion)
- [doctors day (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/doctors-day)
- [equity (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/equity)
- [exercise (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/exercise)
- [fda (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fda)
- [fraud (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fraud)
- [government shutdown (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/government-shutdown)
- [health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health)
- [health care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-care)
- [health leadership (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-leadership)
- [healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare)
- [heart health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health)
- [hepatitis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hepatitis)
- [hiring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiring)
- [hiv (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiv)
- [home health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/home-health)
- [homeless (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/homeless)
- [hosar (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hosar)
- [housing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/housing)
- [human trafficking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/human-trafficking)
- [hypertension (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hypertension)
- [implicit bias (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/implicit-bias)
- [infant formula (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infant-formula)
- [infection (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infection)
- [infectious disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infectious-disease)
- [internet (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internet)
- [intervention (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intervention)
- [lantern (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lantern)
- [lock your meds (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lock-your-meds)
- [lung cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lung-cancer)
- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
- [motivational interviewing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/motivational-interviewing)
- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
- [oncology (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oncology)
- [opioid (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid)
- [oral health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oral-health)
- [outcomes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/outcomes)
- [payer contracting (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payer-contracting)
- [phishing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/phishing)
- [physical therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physical-therapy)
- [physician assistant (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physician-assistant)
- [prediabetes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prediabetes)
- [prior authorizations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prior-authorizations)
- [race (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/race)
- [referral (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/referral)
- [regulations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/regulations)
- [remote patient monitoring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/remote-patient-monitoring)
- [research (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/research)
- [respiratory care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/respiratory-care)
- [rn refresher (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rn-refresher)
- [safety (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/safety)
- [scope of practice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/scope-of-practice)
- [shelter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/shelter)
- [smoking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/smoking)
- [support staff (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/support-staff)
- [surgery (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgery)
- [surgical services (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgical-services)
- [team based care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/team-based-care)
- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
- [training (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/training)
- [transgender (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/transgender)
- [tricare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tricare)
- [trillium (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/trillium)
- [united healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/united-healthcare)
- [virtual (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/virtual)
- [winston-salem (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winston-salem)
- [winter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winter)

See all

### In Case You Missed It... Check Out These Recent Posts

# About Us

The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com)

<https://www.youtube.com/user/NorthwestAHEC?sub_confirmation=1><https://go.northwestahec.wakehealth.edu/blog/rss.xml><https://www.linkedin.com/company/8087671><https://twitter.com/NorthwestAHEC><https://www.facebook.com/283682715601><https://www.instagram.com/northwestahec>

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