TAGs |
Focus-Improving particular administrative transactions/processes |
Eligibility |
Health care eligibility benefit inquiry and response (270/271) |
Claims Data Definition |
Health care claims: Professional (837P), Institutional (837I) and Dental (837D) |
Pharmacy claim/reversal submission and response (NCPDP D.0) |
Medical Code |
Common medical coding across payers for the 837P, 837I, and 837D |
Explanation of Benefits/ Remittance Advice |
Health care claim payment/advice (835) |
| Health Plan Identifier/Other Entity Identifier |
Provides clarification, examples, and recommendations regarding Health Plan Identifier/Other Entity Identifier (HPID/OEID) concept and recently adopted federal rules. Develops best practices, FAQs, and other technical assistance to raise awareness of HPID/OEID and to encourage successful implementation and use of the identifiers. |
Acknowledgments |
Health care claim acknowledgment (277CA) |
Implementation acknowledgment for health care insurance (999) |
Interchange acknowledgment segment (TA1) |
Additional TAGs |
Focus |
Legislative |
Monitors state and federal legislative activity, develops AUC-identified legislative proposals, reviews the Administrative Simplification Act for necessary changes/updates |
Two Digit Program Code |
Develops best practices to accurately gather Prepaid Medical Assistance Plan (PMAP) information needed for various reporting needs |
Committees |
Focus |
Operations |
Serves as AUC committee of the whole for oversight, strategy, priorities; reviews and approves AUC work products and recommendations |
Executive |
Guides and informs Operations Committee, serves as liaison to Minnesota Department of Health and other organizations |
Communications/ Membership/ Policy |
Assists in developing and maintaining AUC policy, procedures, and communications for the Executive Committee |
Strategic Steering |
Provides additional oversight for the AUC |