Name of Manual - Blue Cross and Blue Shield of Minnesota

Claim Service Dates
Restricted to Same
Calendar Month
(continued)
Reporting MNCare and
Sales Tax
Claims Filing
Refer to Appendix A of the MN Uniform Companion Guides for
additional guidance on service date coding.
Examples to illustrate best practice:
Example 1 (equipment rental single month):
Equipment is rented for January 17 through February 16. Service
date should be reported as January 17 with no end date.
DTP*472*D8*20080117~
Example 2 (equipment rental multiple months):
Equipment is rented for March 3 through May 15. Should be
submitted as three separate claims, claim one would be reported as
March 3 with no end date; claim two would be reported as April 3
with no end date; claim three would be reported as May 3 with no
end date.
DTP*472*D8*20080303~
DTP*472*D8*20080403~
DTP*472*D8*20080503~
Instructions for MNCare Tax billing only apply if the provider
bills the group purchaser for MNCare Tax. Some providers do not
bill the group purchaser for MNCare Tax. This document DOES
NOT require them to do so but if they do identify the tax it must
be done as follows. Some group purchasers may not reimburse
MNCare Tax unless it is identified in the AMT. Sales tax
instructions for professional claims are as follows:
MNCare Tax must be reported as part of the line item charge
and reported in the corresponding AMT tax segment on the
lines.
Sales tax must be reported using HCPCS code S9999 for the
tax and must be billed on the same claim as the related taxable
service.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (05/10/12) 8-37