MedicaidAdministrativeMedium impact
ASTC UB-04 Paper Billing Requirements
Illinois Medicaid - HFS·IL · General Surgery, Anesthesiology·Provider Notice
Effective date
Sep 21, 2010
We identified it
Jun 21, 2026
Summary
Illinois Department of Healthcare and Family Services has updated UB-04 paper billing requirements for Ambulatory Surgical Treatment Centers (ASTCs), with special attention to payee changes in Form Locator 2. Providers must follow these updated billing guidelines in conjunction with the UB-04 Data Specifications Manual.
Action Required
Immediately: Billing team for ASTCs must review and implement updated UB-04 paper billing guidelines, particularly payee information requirements in Form Locator 2. Download the updated requirements from the Illinois HFS Ambulatory Surgical Treatment Centers Provider Notices website. Contact facility medical assistance consultant at 1-877-782-5565 with questions. Ensure compliance with UB-04 Data Specifications Manual for all outpatient ASTC claims.