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Use MN–ITS 837 Claims Submit Response to Copy, Void or Replace a Claim

Revised: 04-08-2015

The new MN–ITS Submit response page allows you to copy, replace or void all claims submitted through MN–ITS DDE.

Refer to the MHCP Provider Manual Billing Policy Replacement and Void Claims section for additional situations that require separate instructions.

Using MN–ITS Submit Response (277) to Copy a Claim

Providers can use the copy feature if the claim that was just submitted contains some or all of the information needed to submit a new claim.

  • 1. From the Submit Response, select the Copy action button to retrieve an exact copy of the claim that was just entered.
  • 2. On the Provider Screen, select Continue.
  • 3. If the claim is for a different subscriber, select Delete, enter the Subscriber ID and Birthdate, and select Search. If not, select Continue.
  • 4. On the remaining screens, complete the required (*) fields or appropriate situational field(s) (**) on each screen. Select the appropriate closed Accordion Panels or Continue to advance to the next screen.
  • Note: Refer to the appropriate 837 MN–ITS User Guide, and the specific service section of the MHCP Provider Manual, for billing information and instructions on how to complete your specific claim type.

  • 5. Select the Validate button to ensure you have completed all required fields. Your claim information will be submitted and returned to you with the appropriate edits. Review the Claim Status Category and Claim Status codes using the Washington Publishing Company link on the right side of the screen to determine if corrections need to be made.
  • 6. Select the Submit button to submit the claim. Within seconds, you will receive a Claim Response similar to the Validate with the claims Control number (in orange) at the top.
  • For more information on your submit response, refer to Understanding Your Claim Status Response (277).

    Using MN–ITS Submit Response (277) to Replace a Claim

    If a claim is denied, or has missing or incorrect information, you may replace the claim, making any necessary corrections. Replacing a claim will reverse the entire payment from each line item. Include all service lines that are valid for the corrected claim. Select Validate to ensure your claim will be submitted correctly.

  • 1. From the Submit Response, select the Replace action button to retrieve an exact copy of the claim that was just entered.
  • 2. On the Provider Screen, select Continue.
  • 3. If the claim is for a different subscriber, select Delete, enter the Subscriber ID and Birthdate, and select Search. If not, select Continue.
  • 4. On the Claim Information Screen, the Type of Claim field is auto-poplulated with Replacement and the Payer Claim Control Number is auto-populated.
  • 5. On the remaining screens, complete the required (*) fields or appropriate situational field(s) (**) on each screen. Select the appropriate closed Accordion Panels or Continue to advance to the next screen.
  • Note: Refer to the appropriate 837 MN–ITS User Guide, and the specific service section of the MHCP Provider Manual, for billing information and instructions on how to complete your specific claim type.

  • 6. Select the Validate button to ensure you have completed all required fields. Your claim information will be submitted and returned to you with the appropriate edits. Review the Claim Status Category and Claim Status codes using the Washington Publishing Company link on the right side of the screen to determine if corrections need to be made.
  • 7. Select the Submit button to submit the claim. Within seconds, you will receive a Claim Response similar to the Validate with the claims Control number (in orange) at the top.
  • For more information on your submit response, refer to Understanding Your Claim Status Response (277).

    Using MN–ITS Submit Response (277) to Void a Claim

    Providers have the option to Void a claim. This option lets providers cancel a paid claim that may have been submitted in error. Providers can also cancel a claim requiring changes to the pay-to provider or claim type. You do not need to validate when submitting a void claim.

  • 1. From the Submit Response, select the Void action button to retrieve an exact copy of the claim that was just entered.
  • 2. On the Provider Screen, select Continue.
  • 3. If the claim is for a different subscriber, select Delete, enter the Subscriber ID and Birthdate, and select Search. If not, select Continue.
  • 4. On the Claim Information Screen, the Type of Claim field is auto-populated with Void and the Payer Claim Control Number is auto-populated.
  • 5. On the remaining screens, complete the required (*) fields or appropriate situational field(s) (**) on each screen. Select the appropriate closed Accordion Panels or Continue to advance to the next screen.
  • Note: Refer to the appropriate 837 MN–ITS User Guide, and the specific service section of the MHCP Provider Manual, for billing information and instructions on how to complete your specific claim type.

  • 6. Select the Validate button to ensure you have completed all required fields. Your claim information will be submitted and returned to you with the appropriate edits. Review the Claim Status Category and Claim Status codes using the Washington Publishing Company link on the right side of the screen to determine if corrections need to be made.
  • 7. Select the Submit button to submit the claim. Within seconds, you will receive a Claim Response similar to the Validate with the claims Control number (in orange) at the top.
  • For more information on your submit response, refer to Understanding Your Claim Status Response (277) section below.

    Understanding Your Claim Status Response (277)

    The 277 Claim Status Response contains the current status of your claim and provides the Remittance Advice date if the claim has been paid or denied.

    The claim response displays the Claim Information and the first Service Line on the claim, along with the WPC HIPAA compliant Claim Status Category and Claim Status codes that explain how the claim and line one were processed.

    If there are additional service lines, they are displayed as a blue collapsed accordion panel with the line number and a general service summary. To understand how the entire claim was processed, providers must select each line to review the HIPAA compliant codes and payment information.

    Providers may print a copy of the response by selecting the Print Page link in the upper right section of the response.

    After printing is complete, select Back to 277 Response. If you need additional changes, select the appropriate action button or select close to return to the MN–ITS Home page.

    Action Buttons

    Copy To correct an error of a denied claim or to copy information from other similar claims previously submitted.

    Replace If the claim paid, but paid incorrectly or a line item was denied. The user may access the claim, correct the information and resubmit. The original paid amount will be taken back and replaced with the correct information on the replacement claim.

    Void – If the claim was submitted in error. This deletes the claim and takes the payment back.

    Close returns you to the MN–ITS Home Page.

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