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MN HF1487
Bill
Status
2/24/2025
Primary Sponsor
Steve Elkins
Click for details
AI Summary
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Health plan companies, dental organizations, and third-party administrators must submit data on fully denied claims to Minnesota's all-payer claims database, including which claim lines were denied, denial reasons, adjudication status, and claim identifiers linking original claims to subsequent actions
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Establishes a fee schedule for expanded access to all-payer claims data: $3,500 per year for standard data sets, $7,000 per year for limited-use data sets, and $100 per hour (capped at 40 hours) for custom data sets or reports
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Fee waivers may be granted for financial hardship, self-insured data submitters, academic affiliations, or high-volume data requests
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Department of Health must annually publish a list of authorized research projects using the database on its website and publish the fee schedule online
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Appropriates unspecified amounts from the general fund in fiscal years 2026 and 2027 to the commissioner of health for collecting fully denied claims data
Legislative Description
Data on fully denied claims required to be submitted to the all-payer claims database, fee schedule for expanded access to data in the all-payer claims database established, and money appropriated.
Last Action
Introduction and first reading, referred to Health Finance and Policy
2/24/2025