Claims Processing Report

April 11, 2017

Memorandum

New HFS Data Processing Issues Report - Hospital and Institutional Providers

The Illinois Department of Healthcare and Family Service (HFS) has posted a new report detailing known claims processing issues within its Medicaid Management Information System (MMIS). This HFS report is designed to keep providers up to date about known data processing issues. It will also provide guidance for resolution when an identified problem is being corrected and follow-up actions are taken. Providers should consult this list for updates on MMIS system issues prior to contacting HFS.

Members who have additional billing issues that are not included on the list are encouraged to reach out to HFS so they can be added.

IHA staff and IHA’s Patient Financial Services (PFS) Committee have been asking for the development of this report, and we appreciate HFS recognizing the importance of providing this information to providers. IHA’s PFS Committee is an excellent source for members to receive additional billing assistance and to speak with a unified voice to HFS. IHA’s PFS Committee will be working closely with HFS to keep the report up to date.