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Minnesota AUC Administrative Simplification
 

Version 4010

Minnesota Uniform Companion Guide For the Implementation of the Health Care Claim: Institutional (837)

Institutional Claims Guide
Minnesota Uniform Companion Guide For the Implementation of the Health Care Claim - Institutional Electronic Transaction
(ANSI ASC X12 837I)
(pdf 377Kb/70 pgs)


Best Practices

  • AUC Best Practices Grid
  • Minnesota Community Coding Recommendations Grid (updated 11/17/11)
  • Provider COB Claims Data Population
  • Format of Claim Submitter’s Identifier
  • Utilization of the Basic Character Set Values
  • Reporting Services and Charges Related to Adverse Health Events
  • Taxonomy Submission Requirements
  • Claims Attachments
NOTE: Claims Attachment Cover Sheets should be sent to the appropriate payer and not the MN Department of Health or the AUC.
  • Attachment Cover Sheet Instructions
  • Attachment Cover Sheet  (MS Word)  • Attachment Cover Sheet  (pdf)
  • AUC Member Contact Information
  • Miscellaneous Supply/Product Numbers in NTE Segment
  • COB Claims when Primary Payer is not a MN Group Purchaser
  • Claim Service Dates Restricted to Same Calendar Month
  • Product and Supply Description in NTE Segment
  • Replacement/Void Claims
  • Submission of Appeals
NOTE: Claims Appeal Cover Sheets should be sent to the appropriate payer and not the MN Department of Health or the AUC.
The Attachment Cover Sheet must not be sent with the Appeal Request Form.
  • Instructions for Completion of Appeal Request Form
  • Appeal Request Form  (MS Word)  • Appeal Request Form  (pdf)
  • AUC Member Contact Information
  • Coordination of Benefits / Non-Assignment of Primary Payer Benefits
  • Coding for Preventative Medicine Visit with a Separately-Identifiable, Problem-Oriented Service During the Same Encounter
  • Billing for Postage Charges
  • Reporting of admission, principal and other procedure, and statement dates


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