Minnesota Statutes, section 62J.536 Rules
- Minnesota Uniform Companion Guides Version 5010 and D.Ø
- Minnesota AUC best practices
- Minnesota AUC coding recommendations
- Minnesota AUC forms
Minnesota Uniform Companion Guides Version 5010 and D.Ø
Minnesota Statutes, section 62J.536, requires the Minnesota Commissioner of Health, in consultation with the Minnesota Administrative Uniformity Committee (AUC), to promulgate rules pursuant to section 62J.61 establishing and requiring group purchasers and health care providers to use electronic eligibility, claims, payment/advice, and acknowledgment transactions with a single, uniform companion guide to the implementation guides described under Code of Federal Regulations, title 45, part 162. The rules for single, uniform companion guides are known as “Minnesota Uniform Companion Guides”. Version 5010 and D.Ø of the guides are required for use beginning January 1, 2012.
| Transaction category | Transaction |
PDF No. of pages |
Date most recent version published |
Eligibility |
Health care eligibility benefit inquiry and response (270/271) | 10/15/12 |
|
Claims |
Health care claim: Professional (837) | 2/19/13 |
|
| Health care claim: Institutional (837) | 2/19/13 |
||
| Health care claim: Dental (837) | 2/19/13 |
||
| Pharmacy claims submission and response (NCPDP D.Ø) | 6/21/10 |
||
| Pharmacy claims reversal and response (NCPDP D.Ø) | 6/21/10 |
||
Payment/advice |
Health care claim payment/advice (835) | 1/28/13 |
|
Acknowledgments |
Health care claim acknowledgment (277CA) | 4/8/13 |
|
| Implementation acknowledgment for health care insurance (999) | 12/27/10 |
||
| Interchange acknowledgment segment (TA1) | 12/27/10 |
Minnesota AUC best practices
Minnesota AUC best practices are consensus recommendations of the AUC to further standardize and harmonize health care administrative transactions for providers and group purchasers. While adoption or adherence to the best practices is voluntary, it is strongly encouraged to further reduce health care administrative burdens and costs.
Minnesota AUC coding recommendations
Minnesota AUC coding recommendations are consensus recommendations of the AUC to provide clarification and answers to frequently asked questions about recommended ways to code for health and medical services on the 837I and 837P electronic claim. These coding recommendations are no part of the Minnesota uniform companion guides and do not serve as rules.
Minnesota AUC forms
Providers may use Minnesota AUC forms to send claims appeals and attachments to payers. Do not submit these forms to MDH.
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