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Minnesota AUC Administrative Simplification
 

Best Practices - Claims

(837I, 837P, 837D, NCPDP D.0)

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
C1
MN community coding grid of medical coding recommendations (for only the 837I and 837P) (PDF: 725KB/12pgs)
C2

Payer to payer Coordination of Benefits (COB) (PDF: 59KB/2pgs)

(Note: MS §62J.536 does not apply to payer to payer COB.)
C3
Formatting, submitting patient control/account numbers (PDF: 94KB/2pgs)
C4
When to use taxonomy code(s) (PDF: 63KB/2pgs)
C5

Attachments (Completing and sending an attachment that is related to a submitted claim) (PDF: 33KB/3pgs)

Note: Claims attachments and cover sheets should be sent to the appropriate group purchaser. Do not send them to the Minnesota Department of Health (MDH) or AUC.

 

C6
Claim service dates restricted to same calendar month (PDF: 52KB/2pgs)
C7

Replacement/void claims (PDF: 76/3pgs)

Note: Replacement claims may also be referred to as “corrected claims;” void claims may also be referred to as “cancel claims.”


C8

Appeals - submitting an appeal by a provider to a Minnesota group purchaser (PDF: 51KB/2pgs)

C9
Billing for postage services (PDF: 60KB/2pgs)
C10
Billing for covered and non-covered services (e.g. elective, cosmetic, upgrade procedures) (PDF: 48KB/2pgs)
C11
Examples for NTE and PWK usage (PDF: 71KB/3pgs)

Best Practices Home Page

 
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