This bill mandates that health plan companies, dental organizations, and third-party administrators submit data on fully denied claims to the all-payer claims database. It amends Minnesota Statutes 2024, section 62U.04, to include specific requirements for the data submitted, such as indicators for denied claim lines, reasons for denial, claim line status, and a claim identifier. Additionally, it establishes that the data must include enrollee race and ethnicity for claims incurred on or after January 1, 2023. The bill also introduces a new subdivision that outlines a fee schedule for accessing the all-payer claims database, detailing costs for standard, limited-use, and custom data sets, while allowing for fee waivers under certain conditions.

Furthermore, the bill appropriates funds for the collection of data on fully denied claims, ensuring that the commissioner of health has the necessary resources to implement these changes. It emphasizes the importance of protecting data privacy and integrity while allowing for expanded access to data for research and public benefit. The commissioner is tasked with establishing a robust oversight process for data access and use, including the publication of a fee schedule and a list of authorized projects on the Department of Health website.

Statutes affected:
Introduction: 62U.04