Founding Members

Allina Hospitals & Clinics
Blue Cross and Blue Shield of Minnesota an independent licensee of the Blue Cross and Blue Shield Association
Fairview Health Services
HealthPartners
Mayo Clinic
Medica
Park Nicollet Health Services
PreferredOne

Participating Members

Minnesota Department of Human Services

Contact

If you have any questions or would like any information about the Minnesota HIPAA Collaborative, please contact us at info@rx2000.org

 

Test Profile Template

The Test Profile Template is used by trading partners to document their test readiness, capability and methodology. Use of the document facilitates communication between trading partners in order to expedite direct testing and establish reasonable expectations. Historically, this exchange has been the result of multiple communications with trading partner contacts resulting in incomplete or contradictory information regarding testing. The template is designed to solicit the collection of consistent information serving both the sender and the recipient of a given transaction (e.g. 837/835 etc).

Template Usage

Trading partners are encouraged to submit a test profile for each transaction (e.g. 837, 270, 835 etc.) exchanged with any member of the MN Collaborative. It is only necessary for a trading partner to submit a single profile to the Collaborative if that profile is sufficient to reflect the submitter's test capability. However, if the submitter originates multiple transaction (e.g. 837 claims) exchanges from different internal systems with significantly different degrees of test readiness, capability and methodology, a test profile for each system should be submitted. Likewise, as submitters test capability change and evolve, revisions to the profile should be submitted to insure up-to-date information.

Once submitted to the MN Collaborative, the profiles will be referenced by the Collaborative members to facilitate point-to-point testing. Submitted profiles will not be made available outside of the MN collaborative community without the written permission of the originating trading partner. However, MN HIPAA Collaborative member themselves make their profiles available to the public in order to expedite their testing process and establish shared testing expectations.

Prior to the exchange of an actual test transaction file, the originator of the transaction should:

1. Determine which transaction is to be exchanged e.g. 837 Claim, 835 Remittance etc.
2. Review the transaction's test profile provided by the recipient trading partner.
3. Download and complete the Test Profile Template for the originator's organization.
4. Submit their completed template to the MN Collaborative administrator at info@mnhipaacollab.org .

Tools:

Click here for Instructions for the template, including field definitions

To view the file online: To download a file in Internet Explorer, right click the link below and then click 'Save Target As' when prompted.
837 Test Profile Template 837 Test Profile Template
835 Test Profile Template 835 Test Profile Template
270 Test Profile Template 270 Test Profile Template
271 Test Profile Template 271 Test Profile Template

 

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