MN Electronic Billing Information
Minnesota Electronic Billing Requirements
MN Law Requires Electronic Billing: The new law mandates that ALL providers must submit their claims electronically by July 15th, 2009. Specific information can be found on the AUC web site.
EZClaim is Fully Compliant: EZClaim complies will all the items on the Claim Compliance Checklist (see below).
EZClaim Electronic Billing Solutions
EZClaim offers two solutions for electronic billing:
1. EZClaim’s Clearinghouse Services – Complete package starting at $495.00
- Experienced staff to guide you through the EDI process
- Free program support
- Fully integrated claim submission, no dialup or web site portals
2. EZClaim’s Direct EDI Package – Complete package starting at $1585.00
- ClearConnect Compatible
- No monthly fees
- 6 Months support included
Claim Compliance Checklist
|
E3 Requirement for 837s |
EZClaim’s Readiness |
|
Send/receive professional (837P) claims electronically |
Ready |
|
Send/receive institutional (837I) claims electronically |
NA |
|
Send/receive dental (837D) claims electronically |
NA |
|
Send/receive pharmacy (NCPDP 5.1) claims electronically |
NA |
|
Send/receive pharmacy reversal claims electronically |
NA |
|
Send/receive and process previous payer payment information in the claim record (COB) |
Ready |
|
Send/receive claims coded as instructed by CMS or Appendix A of Minnesota’s Uniform Claims Guide (professional, institutional or dental) |
Ready |
|
Send/receive replacement claims electronically |
Ready |
|
Send/receive cancel claims electronically |
Ready |
|
Send/receive claims electronically indicating that an attachment will be sent via other method (preferably fax per the AUC Best Practice) Use PWK segment to determine the type of attachments (fax, mail, etc.) and unique attachment number, and tie the claim to the attachment(s) using unique identifiers. Providers: consider electronic generation (if desired). Payers: consider storage & retrieval and what to do with attachments that cannot be attached to a claim. |
Ready |
|
Populate NTE segments when applicable to the claim per the Uniform Companion Guides or use NTE segments when submitted by a provider. |
Ready |
|
Send/receive all standard qualifiers per the Uniform Companion Guides |
Ready |
|
Use K3 segments appropriately when applicable to the claim. |
Ready |
|
Use provider segments and loops appropriately within the transaction per the Uniform Companion Guides. |
Ready |
|
Adhere to formatting requirements (section 4.2.3.1 of the Uniform Companion Guides). |
Ready |
|
Adhere to the Date Population and editing rules in Appendix B of the Uniform Companion Guides. |
Ready |
|
Adhere to rules in Appendix C of the Uniform Companion Guides when multiple values from the same code set may be reported on claims. |
Ready |
|
Review all Best Practices on the AUC website for adherence. Recheck AUC website monthly for additional best practices approved by AUC Operations. |
Ready |
Document ID: 1089
Applies To: EZClaim
Updated: 5/20/2009