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Submit Direct Data Entry (DDE) Claims

Revised: 06-11-15

MHCP user guides provide step-by-step instructions to help providers and billers use the Submit Claim (837) feature of MN–ITS using DDE.

The user guides list which MN–ITS fields you must complete on 837 claims when requesting MHCP reimbursement for health care services.

Pharmacy NCPDP D.O

  • • Pharmacy Claim
  • 837D Dental

  • • 837D Dental Claim Level COB
  • • 837D Dental Line Level COB
  • 837I Institutional

  • • Chemical Dependency
  • • CD Inpatient
  • • CD Outpatient
  • • Inpatient Services
  • • Outpatient Services
  • • Outpatient Ambulance Service
  • • Home Care (Non-PCA) Services
  • • Hospice
  • • Long-Term Care (LTC) Services
  • • Rehabilitative Services, OT, PT and SLP
  • 837P Professional

  • • Basic Instructions (All other services
  • • Ambulance Services
  • • Child & Teen Checkups (C&TC)
  • • Certified Registered Nurse Anesthetists (CRNA) / Anesthesiologists
  • • Early Intensive Developmental Behavioral Intervention Claims (EIDBI)
  • • Equipment and Supplies - Durable Medical Equipment, Medical Supplies, Prosthetics and Orthotics, and Augmentative Devices
  • • DT&H Claims
  • • FQHC/RHC
  • • Hearing Aid Services
  • • HIV Case Management
  • • IEP Services
  • • Medication Therapy Management Service
  • • Mental Health Services
  • • Mental Health Targeted Case Management (MH-TCM)
  • • Personal Care Assistance (PCA)
  • • Rehabilitative Services, OT, PT and SLP
  • • SMRT Disability Examination
  • • Special Transportation Services (STS)
  • • Waiver, Alternative Care, and Moving Home Minnesota Services
  • MN–ITS Home page

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