Name of Manual - Blue Cross and Blue Shield of Minnesota

Claims Filing
Cancel/Void and
Replacement Claims
Minnesota statute 62J.536, requires providers to submit all claims
electronically. This requirement includes all cancel and
replacement claims as well as original submissions. Cancel claims
are claims that should not have been billed or where key claim
information such as the billing provider or patient name were
submitted incorrectly. Replacement claims are sent when data
submitted on the original claim was incorrect or incomplete.
Minnesota providers and out of state providers who participate
with Blue Cross are no longer allowed to submit adjustment
requests via paper or through provider web self-service at
providerhub.com. Providers are required to adhere to the State of
Minnesota Uniform Companion Guide requirements and the AUC
Best Practices for replacement claims. Additionally, provider
services will no longer accept requests to change data elements
within a claim as these should be sent electronically as
replacement claims. Provider services will still accept requests to
adjust claims in situations where the claim processed incorrectly
even though correct information was provided on the original
submission.
Exceptions
Exceptions to this electronic replacement claims enforcement are
as follows:
Dental formatted adjustment requests will still be accepted if
received on paper.
Pharmacy formatted adjustment requests will still be accepted
if received on paper.
Nonparticipating providers that are located in counties that
border Minnesota are exempt from the statute, therefore paper
claims will still be accepted from these providers.
Adjustment Requests received from the Veterans
Administration (VA) and Indian Health Services.
Additional Information
If you are unable to send electronic replacement and/or cancel
claims, Blue Cross has secured the services of Availity to provide
a free web-based tool for provider data entry of claims. To learn
more about submitting claims using Availity’s no-cost web-based
tool, go to availity.com.
8-28 Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (05/10/12)