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Elizabeth M. Whitehorn, Director

Provider Notice issued 04/01/04

March 2004 Update to Chapter 300: Handbook for Electronic Processing

To:​ All Enrolled Providers​
Date:​ April 1, 2004​
Re:​ March 2004 Update to Chapter 300: Handbook for Electronic Processing​

No. CH300-04-01

The purpose of this bulletin is to inform providers of updated topics for the Handbook for Electronic Processing. These updated topics are available on the department's Web site at <http://www.illinois.gov/hfs/MedicalProviders/Handbooks/Pages/default.aspx>. If you do not have access to the Internet, or need a paper copy, printed copies are available upon written request. You need to specify a physical street address to ensure delivery. Submit your written request or fax to:

 

Illinois Department of Public Aid
Provider Participation Unit
Post Office Box 19114
Springfield, Illinois 62794-9114
Fax Number: (217) 557-8800
E-mail address is HFS.Webmaster@illinois.gov

 

The revised topics are dated March 2004. The affected items are designated by "=" signs to the left. This Provider Bulletin lists the pages to be removed and replaced.

 

If you have any questions regarding this bulletin, please contact the Bureau of Comprehensive Health Services at 217-782-5565.

Instructions for Updating Handbook

Topic 301 - 837 Institutional  

Remove page December 2003 IDPA 301 (3) and insert new page March 2004 IDPA 301 (3).

 

Remove page September 2003 IDPA 301 (5-9) and insert new page March 2004 IDPA 301 (5-9).  

Topic 302 - 837 Professional 

Remove pages September and December 2003 IDPA 302 (3-13) and insert new pages March 2004 IDPA 302 (3-14).

Topic 304 - NCPDP 

Remove pages April 2003 IDPA 304 (6 and 10-11) and insert new pages March 2004 IDPA 302 (6 and 10-12).  

Topic 305 - 835 Health Care Claim Payment/Advice  

Remove pages September 2003 IDPA 305 (1-10) and insert new pages March 2004 IDPA 305 (1-10).  

Topic 306 - 276 - 277 Health Care Claim Status Request and Response

Remove page September 2003 IDPA 306 (2) and insert new pages March 2004 IDPA 306 (2).  

Topic 307 - 270/271 Health Care Eligibility Benefit Inquiry and Response

Remove pages August 2003 IDPA 307 (1-10) and insert new pages March 2004 IDPA 307 (1-10).  

Topic 309 - Managed Care Organizations

Remove pages August 2003 IDPA 309 (1-2, 5, 7, 9, 11-14) and insert new pages March 2004 IDPA 309 (1-2, 5-7, 9, 11-14).  

Appendix 1 - EDI Control (Packaging/Enveloping of Transmissions)  

Remove pages December 2003 IDPA Appendix 1 (1-4) and insert new pages March 2004 IDPA

Appendix 1 (1-4)  

Appendix 6 - Edits And Rejections 

Remove pages December 2003 IDPA Appendix 6 (1-10) and insert new pages March 2004 IDPA Appendix 6 (1-12)