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Institutional Paper Claims Technical Guidelines

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Apr 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois HFS updated technical guidelines for UB-04 paper claim preparation effective April 1, 2017. Key changes include prohibiting blank revenue lines, handwritten entries, and correction fluid/tape on paper claims - all claims must be computer-printed or typed.

Action Required

Action needed
By April 1, 2017: Billing team must ensure all UB-04 paper claims are computer-printed or typed (no handwritten entries), eliminate use of correction fluid/tape (reprint claims for corrections), and fill all revenue lines without skipping any blank lines. Share guidelines with billing agencies. Claims not meeting these specifications will be rejected as unprocessable.