PreferredOne Compliance with Minnesota E3 Electronic Claim Requirements

PreferredOne will be complying with the Minnesota E3 Electronic Claim Requirements, effective July 15, 2009.

Claims Submission

MN providers are required to submit all of their claims electronically beginning July 15, 2009. PreferredOne, along with other MN health plans, has contracted with Infotech Global, Inc. (IGI) to offer providers a tool to easily meet the state's July 15 electronic claims submission deadline. Providers may register now at to use the tool, which is offered at no cost to providers to submit claims.

We also have numerous clearinghouse connections that providers may utilize for their claim submissions. Please visit our provider internet portal for more information: www.preferredone.com/providers/EDI.

Medical Code Sets

MN providers are required to submit claims codes as instructed by CMS or Appendix A of Minnesota’s Uniform Claims Guide (professional, institutional or dental). Note: This requirement does not guarantee payment. Please refer to PreferredOne’s payment policy for further information and/or instructions.

Claims Attachments

PreferredOne will be complying with the AUC Best Practice for Claims Attachments. Claims submitted with attachments must indicate that an attachment will be sent via other method (preferably fax per the AUC Best Practice), or by mail. The fax number for attachments is 763-847-4010. If sending attachments via mail, please refer to the mailing address on the patient’s ID card.

Replacement/Void Claims

PreferredOne will be complying with the AUC Best Practice for Replacement/Void Claims. A replacement/void claim must include the PreferredOne claim number, or the claim will be denied.

Electronic COB Claims

PreferredOne will be complying with the previous payer payment information (COB) requirements in the Minnesota Uniform Claims Guide (professional, institutional or dental).

Submission of Appeals

PreferredOne will be complying with the AUC Best Practice for Submission of Appeals. Appeals should be faxed to your Provider Relations Representative.

Additional Information

For further information about PreferredOne’s EDI capabilities, please refer to our EDI page www.preferredone.com/providers/edi, or contact your network provider representative.

For additional information about Minnesota’s E3 Electronic Claim Requirements, please refer to the MN Administrative Uniformity Committee website www.health.state.mn.us/auc/index.html.