Minnesota statute section 62J.536 requires all Minnesota health care providers and Minnesota-licensed group purchasers to exchange eligibility inquiries and response, claims and remittance advices electronically using a standard format. This effort reduces costs and simplifies and speeds up health care transactions while giving providers and health plans one set of standards.

HealthPartners no longer accepts paper claim submissions from Minnesota providers.

HealthPartners offers several options for exchanging mandated transactions.

HealthPartners has contractual relationships with several clearinghouses that offer Electronic Data Interchange (EDI) capabilities and internet Direct Data Entry (DDE) solutions, including:

• Claims submissions
• Electronic remittance advice
• Eligibility inquiry and response
• HealthPartners web tools

To help determine which clearinghouse best meets your business needs, please contact them directly using the contact information provided on our website.

For additional resources regarding these mandates, see:

• The Administrative Simplification Act (ASA) at CMS.gov
• The Administrative Uniformity Committee (AUC) at health.state.mn.us

For information on upcoming Minnesota mandates, visit the Minnesota Department of Health.

HealthPartners participates in the AUC, a broad-based group representing Minnesota health care public and private payers, hospitals, health care providers and state agencies.

The mission of the AUC is to develop agreement among Minnesota payers and providers on standardized administrative processes when implementation of the processes will reduce administrative costs.