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Medicaid Minnesota

dentalmedicalvision

Summary

Medicaid Minnesota is a dental, medical, and vision payer operating in Minnesota. Claims route under payer ID DPWMN, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
DPWMNAlso seen as 10139, 12K16, CKMN1, MNMCD, SKMN0
Also known as
Minnesota Department of Health, Minnesota Medicaid
Service area
MN

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)RequiredSeveral weeks
Claim status (276/277)Not requiredImmediate
Professional claims (837P)RequiredSeveral weeks
Institutional claims (837I)RequiredSeveral weeks
Dental claims (837D)RequiredSeveral weeks
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Medicaid Minnesota?
The payer ID for Medicaid Minnesota is DPWMN. Alternate IDs seen across clearinghouses include 10139, 12K16, CKMN1, MNMCD.
Does Medicaid Minnesota require ERA enrollment?
Yes. Medicaid Minnesota requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Medicaid Minnesota cover?
Medicaid Minnesota operates in MN. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Medicaid Minnesota offer?
Medicaid Minnesota covers dental, medical, and vision.
Can I submit claims to Medicaid Minnesota electronically?
Yes. Medicaid Minnesota is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.