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Minnesota AUC Administrative Simplification

Complaint Reporting TAG

Provider Complaint Reporting

Minnesota Rules, parts 4685.1110 and 4685.1700 to 4685.1900 requires health plans to obtain patient complaints from providers.  This data collection process has been confusing for providers as the reporting requirements for each payer varies slightly.  To provide clarity on this administrative process, MN Administrative Uniformity Committee developed a Technical Advisory Group, compromised of payers and providers, to collaborate on ways to better comply with this law.  The work of the TAG included expanding definitions of what complaints are required to be reported and to provide clarity on the data requirements.

Definitions (pdf 6 Kb/3 pgs)

Form (pdf 21 Kb/2 pgs)

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