Claims bulletins

January 2021

Provider Portal Sunset Delay Notice (PDF)

December 2021

Resubmission of Misdirected Vision Claims Notice (PDF)

2022 NEXGEN Updates (PDF)

November 2021

P&C Code Notice Update (PDF)

Telehealth Claims Notification (PDF)

October 2021

Holiday Check Run Schedule Notification (PDF)

Edit 915 Provider Notification (PDF)

July 2021

Historical IlliniCare Claims Run Out Notification (PDF)

Invalid Claim Denials Notification (PDF)

June 2021

T1502 and T1019 PA Requirements (PDF)

H0039 PA Requirement (PDF)

May 2021

Claims Xten Bulletin (PDF)

LTC 90 Day Max Benefit Denail Bulletin (PDF)

April 2021

Hospital Inpatient Reminder (PDF)

Long Term Care Biling Reminder (PDF)

Hospice Providers Reminder (PDF)

Pathology Denials (PDF)

Hospital Denials (PDF)

HCBS Waiver Providers Reminder (PDF)

BH Code Denials (PDF)

March 2021

Resume Timely Bulletin (PDF)

H0047 Claims Denial Notification (PDF)

EOP Denial Ambulance H2H Transportation Claims Notification (PDF)

EOP Denial BH Claims Notification (PDF)

February 2021

OB Ultrasound Policy Notification (PDF)

Cologuard Service Prior Authorization Notification (PDF)

January 2021

Changes in Prior Authorization Requirements (PDF)

December 2020

Changes to Encounter Clinic Billing Requirement (PDF)

Paper Claims Submission and Check Run Notification (PDF)

Correct Payer ID for Claims Submissions (PDF)

Check Run Pay Dates Notification (PDF)

August 2020

Invalid EXx8 Denials (PDF)

Ambulance Hospital to Hospital Billing (PDF)

DRG Location (PDF)

May 2020

Electronic Claims Training (PDF)

April 2020

Invalid EX4B Denials Letter (PDF)

Network Product Data Management (PDM) Roster Cleanup Letter (PDF)

Ordering/Prescribing/Referring Edit Error Letter (PDF)

Update: Ordering/Prescribing/Referring Edit Error Letter (PDF)

March 2020

Invalid EXBS Denials Letter (PDF)

Invalid EXFe Denials Letter (PDF)

Invalid EXqz Denials Letter (PDF)

February 2020

URGENT, PLEASE READ Update: Ordering/Referring/Prescribing Edit Letter (PDF)

January 2020

Change for Therapy Services Prior Authorization Update Letter (PDF)

Physical Medicine Prior Authorization Provider Education Webinars Letter (PDF)

URGENT, PLEASE READ Ordering/Referring/Prescribing Edit Letter (PDF)

December 2019

Ambulatory Surgery Center (ASC) Steerage Policy Letter (PDF)

Physician's Office Lab Testing Letter (PDF)

November 2019

Cardiac Solutions Launch Letter (PDF)

Prior Authorization Changes Letter (PDF)

October 2019

Emergency Services Denying in Error Letter (PDF)