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MN–ITS User Manual

Latest Manual Revisions

Revised: 11-22-2017

Updates cited below do not include minor grammatical or formatting changes that otherwise do not have bearing on the meaning of the policy contained herein.

11-22-2017
Addition(s)/Revisions

837I Institutional

  • Hospice Services – We made the following updates:
  • • There is a CR 20644 - RTC 8303 that went into production recently. The CR was created to allow a consolidated provider to be added on an Attending Provider. This will be entered in loop 2310A. Attending Provider
  • • NPI/UMPI (Loop: 2330D, REF02) corrected to (Loop: 2310A, NM101)
  • 837I Institutional

  • Long Term Care Services – We made the following updates:
  • • There is a CR 20644 - RTC 8303 that went into production recently. The CR was created to allow a consolidated provider to be added on an Attending Provider. This will be entered in loop 2310A, Attending Provider.
  • • NPI/UMPI - (Loop: 2330D, REF02) corrected to (Loop: 2310A, NM101).
  • Added the note: added to (Loop: 2300, HI102-2-HI12) referring Provider to MHCP Provider Manual for billing TPL along with MHCP and for reporting active or termination of health insurance.
  • 11-17-2017
    Addition(s)/Revisions

    837I Institutional

  • Inpatient Chemical Dependency (CD) Services – We updated the following:
  • • Deleted the table of ICD-9-CM Code from loop: 2300, H101-2
  • • Added the following to loop 2310A, NM101: OR If NPI is consolidated: Select Add to add the Attending Provider, Select the location for the Attending Provider, Select the radio button to add the Attending Provider to the claim, to delete, select Delete.
  • 11-14-2017
    Addition(s)/Revisions

    837I Institutional

  • Inpatient Services – There is a CR 20644 - RTC 8303 that went into production recently. The CR was created to allow a consolidated provider to be added on an Attending Provider. This will be entered in loop 2310A.
  • 03-28-2017
    Addition(s)/Revisions

    837P Professional

  • Day Training and Habilitation (DT&H) and Intermediate Care Facility for Person with Developmental Disabilities (ICF-DD) Special Needs Claims – Added ICF-DD special needs to this user manual and clarified instruction for ordering provider section for ICF-DD special needs only.
  • 02-23-2017
    Addition(s)/Revisions

    837P Professional

  • • Added link to EIDBI billing grid, format and revision of each section of EIDBI MN-ITS user guide.
  • • Updated billing provider field adding select location and screen action.
  • • Updated subscriber field adding language to describe subscriber field and adding action button 'cancel' under screen action button field.
  • • Addition of diagnosis code type field description in MN-ITS user guide.
  • • Added language on copy, replace and void claims.

  • 2014 – 2016 Archived Manual Revisions

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