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MN–ITS User Manual

MN–ITS User Manual

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, 2021

Direct Data Entry
Submit DDE Claims
837P Professional

  • · Basic Instructions – We added information for billing as a consolidated provider
  • November 29, 2021

    Direct Data Entry
    Submit DDE Claims
    837I Institutional

  • · Outpatient Services
  • · Under Coordination of Benefits (COB) under the Submitting an 837I Outpatient Claim heading, we updated and added information about verifying other payers' policy.
  • · We updated language on how to bill Medicare at claim (Service/Line) Level under the Coordination of Benefits (COB) and Services section.
  • November 10, 2021

  • · Submit a Health Care Home (HCH) Tier e-Tool – We changed ICD-9 to ICD-10 throughout.
  • October 22, 2021

  • · Health Care Homes Help — Data Entry Results Screen – Removed Pay for Performance section as the app is no longer supported in MN–ITS.
  • · Health Care Homes Help – Batch Results Screen – We removed the Pay for Performance (P4P) application and the instructions will no longer apply. MN-ITS will no longer have a reference to it.
  • October 20, 2021

    Direct Data Entry (DDE)
    Submit DDE Claims
    837I Institutional

  • · Adult Residential Crisis Stabilization Services (RCS) Room & Board Services – New MN–ITS User Manual for RCS providers billing for room and board using the 837I.
  • October 19, 2021

    Direct Data Entry (DDE)
    Submit DDE Claims
    837I Institutional

  • · Intensive Residential Treatment Services (IRTS) Room & Board Services – New MN–ITS User Manual for IRTS providers billing for room and board using the 837I.
  • September 17, 2021

    Direct 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, 2021

    MN–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, 2021

    Direct Data Entry (DDE)
    Submit DDE Claims
    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, 2021

    Direct Data Entry (DDE)
    Submit DDE Claims
    837P Professional

  • · Billing for IEP Services – Washington Publishing Company (WPC) has been renamed X12. We clarified the claim definition of Void.
  • September 3, 2021

    Direct Data Entry (DDE)
    Submit DDE Claims
    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, 2021

    Direct Data Entry (DDE)
    Submit DDE Claims
    837I Institutional

  • · Inpatient Services – Under Claim Information, the "Other Operating Physician" field moved and will only appear after adding an Operating Provider.
  • March 17, 2021

    Direct Data Entry (DDE)
    Submit DDE Claims
    837P Professional

  • · Housing Stabilization Services – Changing the basic 837P to conform with Housing Stabilization billing procedures.
  • March 9, 2021

    Direct 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

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