• ICD-10 Information and FAQs

    ICD-10 Information and FAQs The above document outlines important details about IlliniCare Health’s ICD-10 implementation in regards to providers. IlliniCare Health has crafted this document to information contracted providers about IlliniCare Health’ status related to ICD-10. The most up to date information on the ICD-10 transition can be found at CMS.gov/ICD10. If you have questions…

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  • Re-Credentialing

    IlliniCare Health conducts a re-credentialing process every 3 years to comply with NCQA (National Committee for Quality Assurance) and state accreditation standards. During this re-credentialing process, IlliniCare Health identifies any changes in practitioner’s licensure, sanctions, certification, competence or health status which may impact a practitioner’s ability to perform their contracted services. All practitioners, primary care…

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  • Claims Issue

    Dear Providers: Due to a system glitch, we are experiencing a problem with claims that are submitted electronically on a UB with a secondary behavioral health diagnosis. Some claims are transferring to Cenpatico, our Behavioral Health vendor, even though they are medical claims and should be processed on the IlliniCare Health side.  This issue is…

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