MedicaidAdministrativeHigh impact
837 Institutional 5010 Changes for Billing Covered and Non-Covered Days
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2012
We identified it
Jun 21, 2026
Summary
Effective January 1, 2012, electronic claim submissions using HIPAA 837I version 5010 must include Value Code 80 (covered days) and Value Code 81 (non-covered days) in the HI segment of Loop 2300. This replaces the previous QTY segment method used in version 4010.
Action Required
By January 1, 2012: Billing team must update electronic claim submission systems to include Value Code 80 for covered days and Value Code 81 for non-covered days in the HI segment of Loop 2300 when using HIPAA 837I version 5010. Update Direct Data Entry processes in MEDI System to submit these value codes. Contact facility's medical assistance consultant at 877-782-5565 for questions.