2006 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    Subdivision 1.[Repealed, 2002 c 307 art 2 s 9; 2002 c 330 s 35]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.
History: 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