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C97 Rejections for Clinic Providers

Illinois Medicaid - HFS·IL · Family Medicine, Internal Medicine, General Practice·Provider Notice
Effective date
Jun 30, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid has identified system issues causing C97 rejections for FQHC, RHC, and encounter clinic claims with T1015 codes received after June 30, 2020. Providers must rebill rejected claims or void and rebill partially paid claims using specific billing frequencies, with timely filing limits lifted through April 15, 2021.

Action Required

Action needed
Before April 15, 2021: Billing team must identify all C97 rejections for T1015 encounter codes since June 30, 2020. For complete rejections (Scenario 1): rebill electronically as original claims using frequency code '1'. For partial payments (Scenario 2): void paid detail lines using frequency code '8', then rebill entire claim using frequency code '1'. Claims splitting is causing T1015 and detail codes to receive separate document control numbers requiring this corrective action.

Affected Billing Codes

T1015