Minnesota Statutes, section 62J.536 Rules


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.

 

Minnesota Uniform Companion Guides v5010/D.0
Transaction Category Transaction Date (most recent version published)
Eligibility Health Care Eligibility Benefit Inquiry and Response (270/2710) (PDF: 178KB/20pgs)
12/30/13
Claims Health Care Claim: Professional (837) (PDF: 483KB/67pgs)
12/30/13
Health Care Claim: Institutional (837) (PDF: 388KB/49pgs)
12/30/13
Health Care Claim: Dental (837) (PDF: 215KB/21pgs)
12/30/13
Pharmacy Claim Submission and Response (NCPDP D.0) (PDF: 20KB/1pgs)
6/21/10
Pharmacy Reversal Submission and Response (NCPDP D.0) (PDF: 20KB/1pgs)
6/21/10
Payment/Advice Health Care Claim Payment/Advice (835) (PDF: 238KB/29pgs)
12/30/13
Acknowledgments Health Care Claim Acknowledgment (277CA) (PDF: 692KB/33pgs)
4/8/13
Implementation Acknowledgment for Health Care Insurance (999) (PDF: 69KB/1pgs)
12/27/10
Interchange Acknowledgment Segment (TA1) (PDF: 63KB/1pgs)
12/27/10

 

Other Minnesota Companion Guides
Transaction Category Transaction Date (most recent version published)
Prescription Drug Prior Authorization

Minnesota Companion Guide Version 1.1 for the Implementation of NCPDP Electronic Prior Authorization (ePA) Transactions [NCPDP SCRIPT Standard version 2013101] (PDF: 38KB/1pgs)

7/28/14

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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Updated Tuesday, July 29, 2014 at 11:39AM