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.
  • Child Support Springfield Regional Office at 607 E Adams Street, Springfield, will be closed beginning Friday, August 15, 2025, and will re-open for in-person service on Tuesday, August 19, 2025. For more information, call 800.447.4278 or email HFS.SRO@illinois.gov.
Elizabeth M. Whitehorn, Director

Non-Emergency Transportation Claims are Denying, X73 – Missing/Invalid Prior Approval

HFS System Issue:

Non-emergency claims require prior approval. Claims denied whether or not they had prior approval.

Problem:

For the months of May and June, the department reduced the reimbursement rates for many providers. Even though non-emergency transportation rates are not reduced, all claims were placed on hold including transportation claims while programming changes were made. When the hold was released in the system, the system did not recognize the prior approvals in the system and claims rejected X73, missing/invalid prior approval.

Providers Impacted:

Non-emergency Transportation Providers 

Problem Begin Date:

Claims with service dates on or after 5/1/2015 were placed on hold beginning May 1, 2015.

Problem Fix Date:

Claims that were previously on hold were released May 26, 2015. Claims received after May 26, 2015 are processing correctly.

Resolution for Impacted Claims:

Claims must be rebilled. A time override will be authorized for claims if the claims were affected by this issue. All re-submitted claims, electronic and paper, must be received by the department by December 5, 2015. 

Claims not previously submitted are subject to the timely filing requirement.