Name of Manual - Blue Cross and Blue Shield of Minnesota

Reimbursement / Reconciliation
Remittance Advice
Introduction The provider remittance is made available every week and at
month end. The remittance will include claims that are processed
or adjusted before the end of the day Friday. You will receive one
remittance for each NPI and each type of claim (i.e. institutional,
professional). You will receive a separate remittance for Blue
Cross members and Blue Plus members, even if you are not a Blue
Plus participating provider. The Blue Cross and Blue Plus
remittances may vary slightly.
Sample PDF
Remittance Advice
2006 Remittance
Advice Change
Remember to always retain a copy of your remittance to meet
HIPAA requirements in a central location for easy retrieval, as
they are an essential resource for your business.
A sample of the PDF version of the provider remittance with field
descriptions is on our website.
The Health Care Administrative Simplification Act of 1996
allowed Minnesota health care providers and payers the chance to
implement administrative standards and simplified procedures
throughout the industry. A portion of the Act required payers to
develop and implement a uniform paper Explanation of Health
Care Benefits (EOB) and Remittance Advice report (remit). The
Act prescribes specific data fields that must appear on the EOB
and remit.
ANSI Codes Blue Cross and Blue Plus uses all the conventions addressed in the
“Minnesota Paper Explanation of Benefits and Uniform Paper
Remittance Advice Report” manual developed by the
Administrative Uniformity Committee (AUC) in our PDF version
of the remittance.
A copy of the manual is available on their website at:
www.health.state.mn.us/auc/eobremitmanual2007.pdf or
Minnesota’s Bookstore at (651) 297-3000 or 1-800-657-3706.
The guide sets forth the standard approach to be adopted by payers
and providers.
9-6 Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (11/02/11)