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Bundled codes for maternity are deleted January 1, 2027Get ready for the change >>
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Coverage profile

Work Medicaid Minnesota across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medicaid Minnesota.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Minnesota.

Available

Other aliases

Also known as

  • 10139
  • 12K16
  • 1468
  • 1568
  • 2437
  • 6567
  • DPWMN
  • MCDMN
  • MNMCD
  • SKMN0
  • MN MA (MN-ITS)
  • Minnesota Department of Health
  • Minnesota Medicaid
  • CKMN1
  • MN_MCAID

Payer policies

Medicaid Minnesota policies

The first 25 of 1,406 public policies Substrate tracks for Medicaid Minnesota, by title. Links open the payer's own document; check its current version before relying on it.

Search all 1,406 Medicaid Minnesota policies by CPT code, keyword or policy number →

Routing reference

Medicaid Minnesota payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Medicaid Minnesota payer name, operating states, and transaction-specific payer IDs
Payer nameMedicaid MinnesotaSource: Substrate payer directory · data last changed
Operating statesMNSource: Substrate payer directory · data last changed
837P professional claims payer IDStediDPWMNEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStediDPWMNEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStediDPWMNEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStediDPWMNEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityDPWMNEnrollment requiredSource: Availity payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStediDPWMNSource: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Medicaid Minnesota. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer ID; matched record: MEDICAID MINNESOTA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Medicaid Minnesota. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone numbers8
Medicaid Minnesota phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(888) 336-8258DentalBenefit context: Other or Additional Payor
  • CIGNA TENNESSEE DENTAL
Health Benefit Plan Coverage
phone(651) 662-5044Other stated contextBenefit context: Other or Additional Payor
  • DATAMARK/BCBS MINNESOTA
Health Benefit Plan Coverage
phone(800) 638-3120Other stated contextBenefit context: Other or Additional Payor
  • UNITED HEALTH VISION
Health Benefit Plan Coverage
phone(800) 643-4845Other stated contextBenefit context: Other or Additional Payor
  • AARP MEDICARE COMPLETE
Health Benefit Plan Coverage
phone(877) 816-3596Other stated contextBenefit context: Other or Additional Payor
  • UNITED HEALTH UTAH
Health Benefit Plan Coverage
phone(888) 632-3862Other stated contextBenefit context: Other or Additional Payor
  • AETNA TEXAS
  • ALLINA HEALTH AETNA
Health Benefit Plan Coverage
phone(651) 431-2700
  • MN DEPARTMENT OF HUMAN SERVICES
phone(800) 366-5411
  • MN DEPARTMENT OF HUMAN SERVICES

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Not affiliated with Medicaid Minnesota or BCBSA.

Confirm routing with your clearinghouse. Report an error

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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