Electronic Visit Verification Home Health Services Taxonomy and Bill Type Information

Attention Standard Plans/Tailored Plans/HHA Exchange/CareBridge and Healthy Blue

Only Home Health Services (HHS) provided with Taxonomy 251E00000X and Bill Types starting with 32 or 34 will be treated as Electronic Visit Verification (EVV) services by the Encounter Processing System (EPS). The Claim type for the Home Health will be set to ‘H’. See the chart below for the detailed combinations of Taxonomy and Taxonomy Qualifier code, and Bill Types.

Below is the Taxonomy + Taxonomy Qualifier code / Category of Service Code crosswalk table information for Claim Type 'H' for Home Health Services:

ç Category-of-Service code     

Bill Types

'321' THRU '325'                   
'327' '328'                              
'341' THRU '345' 
'347' '348'   

All Home Health Services that do not meet these combinations will be treated as non-EVV applicable services.



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