Skip to main content
  • 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 03/22/05

To: Enrolled Transportation Providers

Date: March 22, 2005

Re: Electronic Processing for Emergency Ambulance Transport Services

 

The purpose of this notice is to reiterate the department’s policy regarding electronic billing for an Emergency Ambulance Transport. When billing electronically in ANSI X12 format for an Emergency Ambulance Transport, providers must report a “Y” in the “Emergency” box on the 837P (Loop 2400, SV109) or if submitting claims via the Medical Electronic Data Interchange, Internet Electronic Claims (MEDI IEC) System, on the Direct Data Entry (DDE) screen. This information is located in the department’s Chapter 300, Handbook for Electronic Processing, Topic 302.

For additional information regarding electronic claim submittal, providers should reference Chapter 300, Handbook for Electronic Processing. This document is available on the department’s Web site at:

 

                              http://www.dpaillinois.com/handbooks/chapter300.html 

 

Providers wishing to receive E-mail notification, when new provider information has been posted by the

department, may register at the following department Web site:

 

                                          http://www.dpaillinois.com/provrel/ 

 

Questions regarding this notice may be directed to the Bureau of Comprehensive Health Services toll-free at 1-877-782-5565.

 

Anne Marie Murphy, Ph.D.
Administrator
Division of Medical Programs