MedicaidAdministrativeMedium impact
UB-04 Paper Billing Requirements for HFS Adjudication of Inpatient, Outpatient, and Renal Dialysis Claims
Illinois Medicaid - HFS·IL · Nephrology, General Surgery·Provider Notice
Effective date
Dec 30, 2008
We identified it
Jun 21, 2026
Summary
Illinois HFS has issued updated UB-04 paper billing requirements and guidelines for institutional claims including inpatient, outpatient, and renal dialysis services. This notice consolidates previous billing instructions from 2006 and 2008 into comprehensive guidelines that must be used alongside the UB-04 Data Specifications Manual.
Action Required
Immediately: Billing teams at hospitals, ASCs, and dialysis facilities in Illinois must download and implement the updated UB-04 billing guidelines from the Illinois HFS website. Review current paper claim submission processes against the new consolidated requirements. Ensure all institutional claims follow both the new guidelines and UB-04 Data Specifications Manual. Contact facility's medical assistance consultant at 1-877-782-5565 with questions.