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, by adding requirements for encounter data submissions, which must now include specific fields for fully denied claims, such as the reason for denial and claim line status. Additionally, the bill establishes a fee schedule for accessing data from the all-payer claims database, ensuring that fees do not create barriers for those most affected by health disparities.

Furthermore, the bill introduces a new subdivision that outlines the fees associated with accessing various types of data, including standard, limited-use, and custom data sets. It allows for fee waivers under certain conditions, such as financial hardship or affiliation with academic institutions. The bill also appropriates funds for the collection of data on fully denied claims, emphasizing the importance of this data in improving health care outcomes and ensuring transparency in the health care system.

Statutes affected:
Introduction: 62U.04