Medical billing for Minnesota practices

Medical Billing Services in Minnesota

MinnesotaCare is not Medical Assistance. The Department of Human Services runs both programs. Medical Assistance is Minnesota Medicaid. MinnesotaCare is a separate program with its own enrollment and its own premiums. A claim coded as one and billed as the other denies. Managed-care members are billed to the plan on the card.

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What a claim follows in Minnesota

MinnesotaCare is not Medical Assistance.

Medical Assistance and MinnesotaCare

The Department of Human Services runs both programs. Medical Assistance is Minnesota Medicaid. MinnesotaCare is a separate program with its own enrollment and its own premiums. A claim coded as one and billed as the other denies. Managed-care members are billed to the plan on the card.

National Government Services, Jurisdiction 6

Medicare Part A and Part B for a Minnesota practice go to National Government Services, Jurisdiction 6, with Wisconsin and Illinois. North Dakota and South Dakota use Noridian Jurisdiction F. Iowa uses WPS Jurisdiction 5.

No-fault auto

Minnesota is a no-fault state. Auto medical bills go to the no-fault insurer. A work injury goes to the employer's carrier under the Department of Labor and Industry. Neither one is a Medical Assistance claim.

The program name on a Minnesota card changes the payer. Medical Assistance, MinnesotaCare, a managed-care plan, Medicare through National Government Services, and a no-fault insurer are five different files. Wisconsin's ForwardHealth portal is not one of them.

Nearby states

Minnesota billing questions

Is MinnesotaCare the same as Medical Assistance?

No. Medical Assistance is Medicaid. MinnesotaCare is a separate program.

How is a Minnesota auto injury billed?

To the no-fault insurer, not to Medical Assistance.

Does a Minnesota practice change the fee?

The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.