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  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
Elizabeth M. Whitehorn, Director

Provider Notice issued 08/27/04

HIPAA Contingency Plan Update: Termination of NSF and UB92 Electronic Claim Formats

To:​ All Enrolled Providers​
Date:​ August 27, 2004​
Re:​ HIPAA Contingency Plan Update: Termination of NSF and UB92 Electronic Claim Formats​

The Illinois Department of Public Aid (IDPA) is announcing a termination date for its contingency plan regarding HIPAA electronic claim formats. Presently, IDPA accepts electronic claims in the National Standard Format (NSF) and UB92 electronic formats as well as the new HIPAA-mandated electronic formats (837I – Institutional, 837P – Professional). The contingency plan allows providers and their software vendors a means to work toward compliance while minimizing disruptions to operations and cash flow.

Effective December 1, 2004, IDPA will no longer accept electronic claims in the NSF or UB92 formats. All electronic claims submitted on December 1, 2004, and after, regardless of the date of service must be in the HIPAA-mandated 837I and 837P formats.

It is imperative that you, your software systems, vendors and clearinghouses view the coming months as an opportunity to finalize your transition, while dual systems and formats are supported. It is also very important that this transition begin for you immediately, if not already underway. It is the responsibility of each provider to ensure that all material related to changes in the department’s billing procedures, handbooks, etc., are shared with their software vendor, corporate help desk or information systems area.

For more information regarding HIPAA, please visit our HIPAA Web site at <http://www.myidpa.com/hipaa/>. If you have any questions concerning this notice, you may contact the Bureau of Comprehensive Health Services at 217-782-5565.

Anne Marie Murphy, Ph.D.

Administrator

Division of Medical Programs