MedicaidReimbursementLow impact
Repricing Hospital Outpatient Claims Billed with COVID-19 Diagnosis and Procedure Codes
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Aug 11, 2020
We identified it
Jun 20, 2026
Summary
Illinois Medicaid is automatically reprocessing hospital outpatient claims with COVID-19 diagnosis and procedure codes from March-June 2020 that were incorrectly priced due to outdated system grouper versions. Claims will be voided and repriced with new document control numbers.
Action Required
No action required: Illinois Medicaid will automatically void and reprocess affected claims from March-June 2020. Monitor remittance advice for Adjustment Reason Code 5018 to identify voided claims, and expect new document control numbers for reprocessed claims. Contact Bureau of Hospital and Provider Services at 877-782-5565 with questions.