2006 Minnesota Statutes

62J.58 IMPLEMENTATION OF STANDARD TRANSACTION SETS.
    Subdivision 1. Claims payment. Six months from the date the commissioner formally
recommends the use of guides to implement core transaction sets pursuant to section 62J.56,
subdivision 3 , all category I industry participants and all category II industry participants, except
pharmacists, shall be able to submit or accept, as appropriate, the ANSI ASC X12 835 health
care claim payment/advice transaction set (draft standard for trial use version/release 3051) for
electronic submission of payment information to health care providers.
    Subd. 2. Claims submission. Six months from the date the commissioner formally
recommends the use of guides to implement core transaction sets pursuant to section 62J.56,
subdivision 3 , all category I and category II industry participants, except pharmacists, shall be
able to accept or submit, as appropriate, the ANSI ASC X12 837 health care claim transaction
set (draft standard for trial use version/release 3051) for the electronic transfer of health care
claim information.
    Subd. 2a. Claim status information. Six months from the date the commissioner formally
recommends the use of guides to implement core transaction sets under section 62J.56,
subdivision 3 , all category I and II industry participants, excluding pharmacists, may accept or
submit the ANSI ASC X12 276/277 health care claim status transaction set (draft standard for
trial use version/release 3051) for the electronic transfer of health care claim status information.
    Subd. 3. Enrollment information. Six months from the date the commissioner formally
recommends the use of guides to implement core transaction sets pursuant to section 62J.56,
subdivision 3 , all category I and category II industry participants, excluding pharmacists, shall
be able to accept or submit, as appropriate, the ANSI ASC X12 834 health care enrollment
transaction set (draft standard for trial use version/release 3051) for the electronic transfer of
enrollment and health benefit information.
    Subd. 4. Eligibility information. Six months from the date the commissioner formally
recommends the use of guides to implement core transaction sets pursuant to section 62J.56,
subdivision 3 , all category I and category II industry participants, except pharmacists, shall be
able to accept or submit, as appropriate, the ANSI ASC X12 270/271 health care eligibility
transaction set (draft standard for trial use version/release 3051) for the electronic transfer of
health benefit eligibility information.
    Subd. 5. Applicability. This section does not require a group purchaser, health care provider,
or employer to use electronic data interchange or to have the capability to do so. This section
applies only to the extent that a group purchaser, health care provider, or employer chooses
to use electronic data interchange.
History: 1994 c 625 art 9 s 9; 1995 c 234 art 5 s 19; 1996 c 440 art 1 s 30