Name of Manual - Blue Cross and Blue Shield of Minnesota

Claims Filing
Pre-system Edits Blue Cross has aligned our pre-system edits with the rules
published in the Uniform Claims Companion Guides found on the
Administrative Uniformity Committee (AUC) website at
health.state.mn.us/auc.
Claims with
Attachments
Blue Cross accepts claims with attachments electronically. The
claim must adhere to the electronic rules found in the Uniform
Companion Guides and include the appropriate populated data as
indicated in section 4.2.3.4 of the guides. The related attachment
should be faxed to Blue Cross at 1-800-793-6928 or mailed to:
Blue Cross and Blue Shield of Minnesota
P.O. Box 64338
St. Paul, MN 55164-0338
The attachment cover sheet found on the AUC website must be
used as the first page on each claim attachment. Instructions for
completing the attachment cover sheet are also available on the
AUC website.
Blue Cross has compiled a list of questions and answers in
response to provider inquiries regarding sending attachments on
electronic claim transactions.
Questions and Answers
1. My clinic has a policy of covering all documentation with
an internal cover sheet to protect PHI. Should I be covering
the attachments I am sending with this cover sheet?
No. Per the AUC Guidelines the only acceptable cover sheet
for attachments is the AUC Uniform COVER SHEET For
Health Care Claim Attachments. This form can be modified to
include a PHI message on the bottom of the page if you desire,
but is the ONLY acceptable cover sheet when sending
attachments.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (05/10/12) 8-5