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Minnesota AUC Administrative Simplification

Best Practices - Eligibility


Minnesota AUC best practice documents 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.

The best practices below are for use with the applicable version 5010 transactions.

Minnesota AUC Best Practice v5010

Reference # Best Practice Title/Topic

Reporting health care home (HCH) benefits (PDF)

Reporting Minnesota Department of Human Services (DHS) two digit major program code for Prepaid Medical Assistance Plans (PMAP) (PDF)
Service Type 60 Response (Active Coverage, No Benefits Reported) (PDF)
Reporting termination date for inactive coverage (PDF)
Service Type Inquiry/Response (PDF)
Reporting Restricted Recipient Program (PDF)

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