Trading Partner to Service Provider Affiliations

Revised: August 22, 2023

Overview

A trading partner can be a billing intermediary, clearinghouse, or electronic data interchange (EDI) trading partner. Trading partners wishing to add a service provider affiliation will follow the steps Add a new trading partner to service provider affiliation in the Minnesota Provider Screening and Enrollment (MPSE) portal.

Trading partners who need to update an existing affiliation to a provider will follow the steps Update an existing trading partner to service provider affiliation in MPSE.

Steps to Add a New Trading Partner to Service Provider Affiliation:

1. When you log in to MPSE, the program will take you to the Manage Portfolio page. Click the Create a New Request button at the bottom of this page.

2. Select Trading partner to service provider affiliation request in the Request Type field.

3. Enter a Request Effective Date. The Request Effective Date is the date you want Minnesota Health Care Programs (MHCP) to consider your request to be in effect.

4. Click Continue.

5. This will bring you to the Manage Enrollment Record page. Click Edit in the row for the enrollment record that you wish to add the affiliation to.

6. Using the Right-Side Navigation, click on Trading Partner to Service Provider Affiliations.

7. Click Create New Affiliation.

8. In the NPI/UMPI field, type the national provider identifier (NPI) or unique Minnesota provider identifier (UMPI) of the service provider you wish to affiliate the trading partner to.

9. Click Search.

10. Find the desired trading partner in the search results and click Select in the User Actions column.

· If MPSE finds no search results, contact the service provider you are attempting to affiliate with to confirm that the information you are searching with is accurate. Note that the service provider you select to affiliate with must already be enrolled with MHCP before you make the affiliation request.

11. Complete the Affiliation Information section on this page.

· Only add the End Date when the affiliation is no longer effective.

· The name of the person who completes the Affiliation Information section in MPSE should be the name entered in the Digital Signature and Signers Title fields (not the name of the person who signs the Electronic Remittance Advice Request [DHS-4087]).

· Click Upload to add the required Electronic Remittance Advice (RA) Request (DHS-4087) (PDF).

12. Click Continue to save your information and return to the Manage Trading Partner to Service Provider Affiliations page.

13. Repeat Steps 7 through 12 to add additional service provider affiliations to this enrollment record.

14. Using the Right-Side Navigation, click Submit Request.

15. Complete the attestation by checking the attestation box and click Submit for Approval.

16. Click Continue to return to the Manage Portfolio page.

Steps to Update an Existing Trading Partner to Service Provider Affiliation:

1. When you log in to MPSE, the program will take you to the Manage Portfolio page. Click the Create a New Request button at the bottom of this page.

2. Select Trading partner to service provider affiliation request in the Request Type field.

3. Enter a Request Effective Date. The Request Effective Date is the date you want MHCP to consider your request to be in effect.

4. Click Continue.

5. This will bring you to the Manage Enrollment Record page. Click Edit in the row for the enrollment record that you wish to update the affiliation for.

6. Using the Right-Side Navigation, click on Trading Partner to Service Provider Affiliations.

7. Find the desired trading partner affiliation in the All Trading Partner to Service Provider Affiliations section and click View/Edit in the User Actions column.

8. Complete the Affiliation Information section. The name of the person who completes the Affiliation Information section in MPSE should be the name entered in the Digital Signature and Signers Title fields (not the name of the person who signs the Electronic Remittance Advice Request [DHS-4087]).

9. Click Continue to save your information and return to the Manage Trading Partner to Service Provider Affiliations page.

10. Repeat Steps 7 through 9 to update additional service provider affiliations for this enrollment record.

11. Using the Right-Side Navigation, click on Submit Request.

12. Complete the attestation by checking the attestation box and click Submit for Approval.

13. Click Continue to return to the Manage Portfolio page.