Agenda Item
AUC ELIGIBILITY TAG
Meeting Minutes – February 24, 2016
Discussion
1. Meeting to order – Theresa Noponen
Theresa convened meeting.
2. Anti-trust statement:
http://www.health.state.mn.us/auc/pdfs/antitrust.pdf
Theresa reminded TAG members to comply with the AUC antitrust statement and that it is available for review on the AUC
website there are any questions.
3. Introductions - Please e-mail your attendance to
[email protected]
4. Minutes for October 2015 and January 2016
Approved via email vote
5. Limited exception for non-HIPAA payers complying
with MN 270/271 transaction requirements
Theresa received the following information “Actually, until the
new X12 TR3 accounts for the P&C technical and business needs,
it really would not be useful to exchange it for P&C. They were
working on a new special purpose TR3 to address that sort of
need and possibly allow the P&C claim number to be included
but I don’t know if that work has been completed at X12 by the
workgroup.”
Discussion – even if providers could get a confirmation that
there is an injury and a claim is under investigation, that
would be helpful. WC should be easier to put 270/271
requirements into place, you are dealing with a single
patient, employer, injury date, whereas P&C could include
multiple insurances, multiple claimants per claim. If these
payor types are required to exchange claims and remittances
electronically, some of the infrastructure should already be
in place.
Try and improve the transaction.
Find out what group is working on; can we get meeting minutes
for the work/discussion that has been completed.
After discussion, the group would like to pursue, separating
the transaction between WC and P&C. Dave recommended
developing a white paper to submit to X12 for consideration.
Theresa will follow up with members to get their input and
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Agenda Item
Discussion
track down the minutes as noted from the committee
meetings.
6. X12 Update
BJ did not attend the January meeting. Aggie and Merri-Lee
were not able to join our call today. BJ did give a quick overview
of the conference format. If we get our white paper together for
the non-HIPAA entities, BJ could present for us in June.
7. 2016 Work Plan
Tim Lopez from MN BCBS did a fabulous job walking us through
the AAA errors, thank you Tim!! For those of you that missed our
meeting or for those that have questions about the AAA errors,
Dave Haugen is going to work with Tim to create a webinar type
presentation that would be available on the AUC website for
viewing.
Tim walked through the loops and possible errors that could
occur, giving great examples.
BJ suggested that we break the AAA errors in to
categories; content (72, 76) and other/connectivity
errors (42, 80). The errors that are returned are very
generic, could we get a bit more specific?
8. Other Business
Next Meeting – March 23rd, 2016
Teleconference/WebEx only
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