Submit Direct Data Entry (DDE) Claims

Revised: January 17, 2025

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

· Adult Residential Crisis Stabilization Services (RCS) Room & Board Services

· Ambulance Outpatient

· Home Care (Non-PCA) Services

· Hospice

· Inpatient Services

· Intensive Residential Treatment Services (IRTS) Room & Board Services

· Long-Term Care (LTC) Services

· Outpatient Services

· Outpatient Services for Rehabilitative Services, OT, PT and SLP

· Psychiatric Residential Treatment Facility (PRTF)

· Rehabilitative Services, OT, PT and SLP

· Substance Use Disorder (SUD) Services

· SUD Inpatient

· SUD Outpatient

837P Professional

· Basic Instructions (All other services)

· Ambulance Services

· Child & Teen Checkups (C&TC)

· Certified Registered Nurse Anesthetists (CRNA) / Anesthesiologists

· Community First Services and Supports (CFSS)

· Early Intensive Developmental Behavioral Intervention Claims (EIDBI)

· Equipment and Supplies - Durable Medical Equipment, Medical Supplies, Prosthetics and Orthotics, and Augmentative Devices

· Day Training and Habilitation (DT&H) and Intermediate Care Facility for Person with Developmental Disabilities (ICF-DD) Special Needs Claims

· Federally Qualified Health Center and Rural Health Clinics (FQHC/RHC) Services

· Hearing Aid Services

· HIV Case Management

· Housing Stabilization Services

· Housing Support Supplemental Services

· IEP Services

· Medication Therapy Management Service

· Mental Health Services

· Mental Health Targeted Case Management (MH-TCM)

· PCA Claim

· Rehabilitative Services, OT, PT and SLP

· Special Transportation Services (STS)

· Waiver, Alternative Care, and Moving Home Minnesota Services

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