Use MN–ITS Request Claim Status (276/277) to Check the Status of a Claim
The new MN–ITS Request Claim Status response page allows you to check the status on all claims submitted through MN–ITS DDE, X-12 Batch including Medicare Crossovers or claims received from Billing Organizations, Pharmacy Prescriptions and internal adjustment claims.
Claims submitted through MN–ITS (DDE) are now accessible on the same day using the MN–ITS Request Claim Status (276) feature.
Limitations:
Refer to the MHCP Provider Manual Billing Policy Replacement and Void Claims section for additional situations that require separate instructions.
Note: The claim retrieval process does not return all data fields. Providers need to verify their claim contains all of the required information and possibly reenter the appropriate information before submitting a claim that was copied, replaced or voided.
The following fields are returned with a defaulted response or blank:
Claim | Screen | Field Section and/or Field Name | Default or Blank |
837D | Claim Information | Place of Service | Defaults POS on 1st service line |
837D | Claim Information | Assignment/Plan Participation, Benefits Assignment, Release of Information and Provider Indicator | Defaults standard response |
837P | Situational Claim Information | Property and Casualty: Contact Name, Telephone Number and Extension | Blank |
837P | Situational Claim Information | Ambulance Transport Information: Certification Code, Condition Code, Reason and Distance | Certification = Y |
837I | Situational Claim Information | Claim Notes Reference | UPI |
837I | Situational (Continued) Claim Information | Auto Accident State or Province, Delay Reason | Blank |
837P | Situational Claim Information | EPSDT: Certification (child and teen checkups) | Y |
837D | COB | Other Payer Subscriber: Relationship Code | 18 |
837D | Services – Other Payer | Paid Unit Count | 1 |
837P | Services – Situational Services | NDC Information – Code Qualifier | UN |
837D | Services – Situational Services | Prosthesis Information: Prosthesis Code, Prior Placement Date, Orthodontic Banding Date and Replacement Date | Blank |
Log in to MN–ITS
Using MN–ITS Request Claim Status Response (276)
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 with the WPC HIPAA compliant Claim Status Category and Claim Status codes that explain how the claim and line one were processed.
Use X12’s External Code Lists health care codes lists to identify the claim status category and claim status codes displayed on the claim response.
If there are additional service lines they are displayed as a blue collapsed accordion panel with the line number and a general service summary. Providers must select each line to review the HIPAA compliant codes and payment information to understand how the entire claim was processed.
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 additional changes are needed 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 (take back) – If the claim was submitted in error. This reverses the claim and takes the payment back.
Close returns you to the MN–ITS Home Page.
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