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MN SF2104

MN SF2104
Data on fully denied claims requirement to be submitted to the all-payer claims database


summary

Introduced
03/03/2025
In Committee
03/03/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to health; requiring data on fully denied claims to be submitted to the all-payer claims database; establishing a fee schedule for expanded access to data in the all-payer claims database; appropriating money; amending Minnesota Statutes 2024, section 62U.04, subdivisions 4, 13, by adding a subdivision.

AI Summary

This bill amends Minnesota's health data reporting requirements by expanding the data that health plan companies, dental organizations, and third-party administrators must submit to the state's all-payer claims database. Specifically, the bill mandates that these entities include detailed information about fully denied claims, such as which claim lines were denied, the specific reasons for denial, the claim's adjudication status, and a unique claim identifier. The bill also establishes a formal fee schedule for accessing this database, with tiered pricing for different types of data sets: $3,500 for a standard data set, $7,000 for a limited-use data set, and up to $4,000 for custom reports (calculated at $100 per hour of staff time). The commissioner of health is given discretion to waive fees for certain entities, such as academic institutions or organizations experiencing financial hardship. Additionally, the bill requires the Department of Health to annually publish a list of authorized data access projects and specifies that fees collected will be deposited in a special revenue fund to offset the costs of maintaining and providing access to the database. An appropriation of an unspecified amount is included for fiscal years 2026 and 2027 to support the implementation of these new data collection requirements.

Committee Categories

Health and Social Services

Sponsors (3)

Last Action

Referred to Health and Human Services (on 03/03/2025)

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