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Minnesota AUC Rules Resources
 

Minnesota Uniform Companion Guides

v5010/D.0

Minnesota Statutes section 62J.536 and related rules require the development and use of Minnesota Uniform Companion Guides (MUCGs) as companions to HIPAA Implementation Guides. The law, including compliance with the MUCGs, applies to 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.

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

 

Eligibility

Transaction Version Date
Health Care Eligibility Benefit Inquiry and Response (270/271) (PDF)
12.0
3/26/18

 

Claims (including applicable medical coding requirements)

Transaction Version Date
Health Care Claim: Professional (837) (PDF)
12.0
9/19/16
Health Care Claim: Institutional (837) (PDF)
12.0
9/19/16
Health Care Claim: Dental (837) (PDF)
12.0
8/14/17
Pharmacy Claim Submission and Response (NCPDP D.0) (PDF)
0
6/21/10
Pharmacy Reversal Submission and Response (NCPDP D.0) (PDF)
0
6/21/10

 

Payment/Advice

Transaction Version Date
Health Care Claim Payment/Advice (835) (PDF)
12.0
8/14/17

 

Acknowledgments

Transaction Version Date
Health Care Claim Acknowledgment (277CA) (PDF)
8.0
8/14/17
Implementation Acknowledgment for Health Care Insurance (999) (PDF)
4.0
5/23/16
Interchange Acknowledgment Segment (TA1) (PDF)
4.0
8/14/17

 

Prescription Drug Prior Authorization

Transaction Version Date
Minnesota Companion Guide Version 1.1 for the Implementation of NCPDP Electronic Prior Authorization (ePA) Transactions [NCPDP SCRIPT Standard version 2013101] (PDF)
1.1
7/28/14

 

 
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