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MN SF2852
Bill
Status
4/19/2010
Primary Sponsor
Anthony Lourey
Click for details
AI Summary
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Defines "health care clearinghouse" as a public or private entity that processes health information between nonstandard and standard formats, including billing services, repricing companies, and community health management information systems.
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Requires all group purchasers and health care providers to electronically exchange eligibility, claims, payment, and remittance advice transactions beginning January 15, 2009 through December 15, 2009 using federal standard transaction formats.
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Mandates health care providers, clearinghouses, and group purchasers to provide standard electronic acknowledgments (TA1, 997, 999, or 277CA) when receiving claims or payment transactions beginning January 1, 2012.
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Establishes Commissioner of Health authority to investigate complaints, conduct compliance reviews, and impose civil money penalties up to $100 per violation ($25,000 maximum annually) for violations of electronic transaction requirements.
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Requires health care clearinghouses beginning January 1, 2012 to provide tracking mechanisms for claims delivery, maintain electronic connections with trading partners, and prohibits conditioning acceptance of compliant transactions on purchase of additional services.
Legislative Description
Health care clearinghouse for health care provider transactions establishment; uniform electronic transactions and implementation guide standards expansion
Last Action
Secretary of State Chapter 243 04/15/10
4/19/2010