MN–ITS User Manual
2021 ARCHIVED Manual Revisions
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.
December 8, 2021Direct Data Entry
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837P Professional · Basic Instructions – We added information for billing as a consolidated provider |
September 17, 2021Direct Data Entry
Authorization Request · Submit an Authorization Request for Dental Services· In the Background information, we updated the link to Authorization Requirement Tables for Children and Pregnant Women.· Under Subscriber, we changed ICD-09 to ICD-10.· Under Service Request Detail, we updated the link to the MHCP Provider Call Center. · In the "If your response states:" table, we changed Washington Publishing Company (WPC) to X12. |
September 16, 2021MN–ITS Administration · Assigned or New MN–ITS Administrator – We replaced a fax number with an email address that should be used to submit completed and signed forms. |
September 9, 2021Direct Data Entry (DDE)
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837D Dental · Dental (837D) Claim Level COB - Billing for Dental Services· Under Billing Provider, we added “Select Locations" field.· We changed the term recipient to member. · We removed “Description: Code (CDT modifier) that clarifies or further identifies the service indicated in the procedure code field" from the Procedure Code Modifier(s) field.· Washington Publishing Company (WPC) name changed to X12. |
September 8, 2021Direct Data Entry (DDE)
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837P Professional · Billing for IEP Services – Washington Publishing Company (WPC) has been renamed X12. We clarified the claim definition of Void. |
September 3, 2021Direct Data Entry (DDE)
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837I Institutional · Inpatient Substance Use Disorder (SUD) Services· We added a link to the Residential 5-digit Value code for Billing Direct Access · We changed the term CCDTF to BHF · In the Coordination of Benefits (COB) section, we added link to the MN–ITS Interactive Field Completion Guide (PDF). · We clarified COB tab claim (header) level and Service tab (line) level· We added Other Providers tab and Referring Provider tabs · We clarified the following definitions: Copy, Replace and Void· Outpatient Substance Use Disorder (SUD) Services· We changed Chemical Dependency (CD ) Services to Substance Use Disorder (SUD). · We clarified the term claim (header) level.· We clarified the Coordination of Benefit (COB) section about Medicare B and HMO Medicare Risk and TPL/Other insurance. · We added a hyperlink to MN–ITS Interactive field completion guide (PDF) in the COB section.· We clarified the definition of what voiding a claim in MN–ITS. |
May 26, 2021Direct Data Entry (DDE)
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837I Institutional · Inpatient Services – Under Claim Information, the "Other Operating Physician" field moved and will only appear after adding an Operating Provider. |
March 17, 2021Direct Data Entry (DDE)
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837P Professional · Housing Stabilization Services – Changing the basic 837P to conform with Housing Stabilization billing procedures.March 9, 2021Direct Data Entry (DDE)
Submit DDE Claims 837P Professional · Billing Ambulance Services – Washington Publishing Company has been renamed to X12. |
2020 Archived Manual Revisions
2019 Archived Manual Revisions
2018 Archived Manual Revisions
2017 Archived Manual Revisions
2014 – 2016 Archived Manual Revisions


