Contact Info
Submitting Claims
A claim is a request for payment submitted by the health care provider to the health plan when services are rendered. Insurance claims can be submitted through a medical claims management system or a direct data entry system. Minnesota State Statute, section 62J.536, requires all health care providers to submit claims, including secondary claims, electronically using a standard format.
The review of a claim involves multiple administrative and customer service layers that include review, investigation, adjustment (if necessary), remittance or denial of the claim. A Remittance Advice (RA) is a document supplied by the health plan that provides notice and explanation of payment, adjustment, denial and/or uncovered charges of a medical insurance claim.
- Minnesota Department of Human Services: Basic Instructions
- Minnesota Department of Human Services: Use MN–ITS Request Claim Status (276/277) to Check the Status of a Claim
Minnesota Health Care Programs (MHCP)-enrolled providers can submit claims, check their status and receive RA through MN-ITS or through a clearinghouse.
Provider Help Desk Phone: 651-431-2700 - Connex
Medicare-enrolled providers can submit claims, check their status and receive RA through the National Government Services (NGS) Connex, its secure provider portal, or through approved clearinghouses.
Provider Help Desk Phone: 866-234-7340 - Availity Log-in
Blue Cross and Blue Shield of Minnesota-contracted providers can submit claims, check their status and receive RA through Availity or through other approved clearinghouses.
Provider Help Desk Phone: 651-662-5200 - HealthPartners: Provider Home
- HealthPartners: Claims submission
- Health Partners: Electronic remittance advice
HealthPartners-contracted providers can submit claims through clearinghouses approved by the health plan. Providers can check a claim’s status and receive RA through the HealthPartners provider portal or through approved clearinghouses.
Commercial Plan Provider Help Desk Phone: 952-967-6633
MHCP Plan Provider Help Desk Phone: 952-883-7699 - Medica: Electronic Transactions: Provider Login
- Medica: Administrative Resources
Medica-contracted providers can submit claims through clearinghouses approved by the health plan. Providers can check a claim’s status and receive RA through the Medica provider portal or through approved clearinghouses.
Provider Help Desk Phone: 800-458-5512