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Minnesota AUC Administrative Simplification
 

Minnesota Uniform Companion Guides

Minnesota Statutes section 62J.536 and related rules require the development and use of Minnesota Uniform Companion Guides as companions to HIPAA Implementation Guides. Health care providers that provide services for a fee in Minnesota, or who are otherwise eligible for reimbursement under the state's Medical Assistance program, as well as group purchasers (payers) and health care clearinghouses that are licensed or doing business in Minnesota must comply with version 5010 and D.0 of these rules by January 1, 2012.

Minnesota AUC best practices are consensus recommendations of the AUC to standardize and harmonize health care administrative transactions. The best practices supplement the guides. Adoption or adherence to the best practices is voluntary, but is strongly encouraged to further reduce health care administrative burdens and costs.

Minnesota Statutes, section 62J.497, Subd. 5 requires that

“By January 1, 2014, the Minnesota Administrative Uniformity Committee shall develop the standard companion guide by which providers and group purchasers will exchange standard drug authorization requests using electronic data interchange standards, if available, with the goal of alignment with standards that are or will potentially be used nationally.”

The prescription drug electronic prior authorization companion guide pursuant to MS §62J.497 was posted September 9, 2013 and can be viewed or downloaded in the Other Minnesota Companion Guides table below.

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

 
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