This TAG is focused on creating and maintaining a common companion guide for acknowledgment transactions: TA1, 997, 999 and 277CA.
• Daryl Floden email@example.com 612-672-6851
Charge and mission statement of work
To create and develop Minnesota Uniform Companion Guides for acknowledgment transactions as required by Minnesota 2010 Session Laws, Chapter 243, S.F. No. 2852. This legislative bill requires all health care providers, health care clearinghouses, and group purchasers to provide an appropriate, standard, electronic acknowledgment when receiving the health care claims or equivalent encounter information transaction or the health care payment and remittance advice transaction. The acknowledgment provided must be based on one or more of the following American National Standards Institute, Accredited Standards Committee X12 standard transactions:
An overarching principle of this work is the fact that all parties affected by the statute may be required to make changes to procedures, policies and/or systems in some way, as a result of the work of the AUC, resulting in lowering or slowing the rise in administrative costs for the system as a whole.
Scope of work
- Develop and maintain uniform companion guides for each of the acknowledgment transactions: TA1, 999 and 277CA.
- Develop best practices related to acknowledgment use between trading partners.
- Developed v5010 uniform companion guides for each of the acknowledgment transactions: TA1, 997, 999 and 277CA. Guides were adopted into rule.
- Completed best practices related to acknowledgment use between trading partners.
- Developed front matter guidance for the TA1, 999 and 277CA Minnesota Uniform Companion Guides.
- Review the 005010 TR3 and processing standards. The results of the review are documented in uniform companion guides for each of the acknowledgment transactions. The TAG will bring any items with unknown ownership to the AUC Executive Committee for proper assignment.
- Review the appropriate CMS Medicare rules related to 5010 acknowledgments.
- Determine consensus: If all group purchasers/providers do not agree to follow Medicare rules or such Medicare rules do not exist, then the TAG will decide on ONE way to utilize the appropriate acknowledgment types for business in Minnesota. All participants should provide compelling business facts to support the preferred method.
- If group purchasers/providers do not reach consensus on one standard for the appropriate acknowledgment types, then action items will be assigned to group purchasers/providers, with a deadline date to report back to the TAG on findings. If after reviewing the additional findings, consensus is still unable to be reached at the TAG, then all proposed standards will be documented and brought before the AUC Operations Committee for additional guidance and development of a final recommendation for MDH.
- Develop front matter guidance for the TA1, 999 and 277CA Minnesota Uniform Companion Guides.
Work product(s) to be developed
Minnesota rules for acknowledgments when health plan group purchasers and providers require different information than those in the CMS Medicare rules or the related standard X12 Implementation Guides. Minnesota rules will be contained in uniform companion guides:
(1) MN Interchange Acknowledgment (TA1) Uniform Companion Guide;
(2) MN Implementation Acknowledgment for Health Care Insurance (999) Uniform Companion Guide; and
(3) MN Health Care Claim Acknowledgment (277CA) Uniform Companion Guide.
Uniform companion guides for 005010 were completed in July 2010 with work continuing on identified best practices following completion of the guides.
Work groups: N/A
Activation or re-activation date: April 29, 2010
Inactivation date: (If applicable): N/A