2005 Minnesota Statutes

     62J.535 Uniform billing requirements for claim 
  transactions. 

    Subdivision 1. Repealed, 2002 c 307 art 2 s 9; 2002 c 
 330 s 35 

    Subd. 1a.    Electronic claim transactions.  Group 
 purchasers, including government programs, not defined as 
 covered entities under United States Code, title 42, sections 
 1320d to 1320d-8, as amended from time to time, and the 
 regulations promulgated under those sections, that voluntarily 
 agree with providers to accept electronic claim transactions, 
 must accept them in the ANSI X12N 837 standard electronic format 
 as established by federal law.  Nothing in this section requires 
 acceptance of electronic claim transactions by entities not 
 covered under United States Code, title 42, sections 1320d to 
 1320d-8, as amended from time to time, and the regulations 
 promulgated under those sections.  Notwithstanding the above, 
 nothing in this section or other state law prohibits group 
 purchasers not defined as covered entities under United States 
 Code, title 42, sections 1320d to 1320d-8, as amended from time 
 to time, and the regulations promulgated under those sections, 
 from requiring, as authorized by Minnesota law or rule, 
 additional information associated with a claim submitted by a 
 provider. 

    Subd. 1b.    Paper claim transactions.  All group 
 purchasers that accept paper claim transactions must accept, and 
 health care providers submitting paper claim transactions must 
 submit, these transactions with use of the applicable medical 
 and nonmedical data code sets specified in the federal 
 electronic claim transaction standards adopted under United 
 States Code, title 42, sections 1320d to 1320d-8, as amended 
 from time to time, and the regulations promulgated under those 
 sections.  The paper claim transaction must also be conducted 
 using the uniform billing forms as specified in section 62J.52 
 and the identifiers specified in section 62J.54, on and after 
 the compliance date required by law.  Notwithstanding the above, 
 nothing in this section or other state law prohibits group 
 purchasers not defined as covered entities under United States 
 Code, title 42, sections 1320d to 1320d-8, as amended from time 
 to time, and the regulations promulgated under those sections, 
 from requiring, as authorized by Minnesota law or rule, 
 additional information associated with a claim submitted by a 
 provider. 

    Subd. 2.    Compliance.  Subdivision 1a is effective 
 concurrent with the date of required compliance for covered 
 entities established under United States Code, title 42, 
 sections 1320d to 1320d-8, as amended from time to time. 

    HIST: 1999 c 245 art 2 s 8; 2000 c 483 s 16; 2000 c 488 art 11 
 s 1; 2002 c 307 art 2 s 4-6,8; 2002 c 330 s 20-22,33