Get Minnesota Uniform Companion Guide For The Asc X12 ... - Health State Mn

This guide offers comprehensive instructions on filling out the Minnesota Uniform Companion Guide for the ASC X12 Health Care Claims (837) online. It is tailored for users of all experience levels, ensuring that everyone can successfully navigate the necessary steps.

Follow the steps to complete the form accurately.

1. Locate and select the ‘Get Form’ button to obtain the Minnesota Uniform Companion Guide for the ASC X12 Health Care Claims form, allowing you to access it for completion.
2. Begin by reviewing the overview section, which provides essential background information about the guide, including its purpose and how it correlates with existing Minnesota statutes.
3. Carefully go through the business terminology glossary provided in section 3.2, understanding key terms such as 'billing provider' and 'pay-to address'.
4. Familiarize yourself with the specifics outlined in section 4.0, including the data elements and requirements for the ASC X12/005010X222A1 transactions specific to health care claims.
5. Pay close attention to the appendices, such as Appendix A for coding specifications and Appendix B for usage instructions regarding the K3 segment.
6. As you complete each section, ensure to accurately input all relevant data required to meet compliance as per Minnesota regulations.
7. Once completed, you can save changes, download a copy, or print the form for submission.

Complete your documents online to ensure compliance with Minnesota health care claim requirements.