MedicaidAdministrativeHigh impact
Changes to Value Codes Denoting Coinsurance and Deductible for Electronic Claims
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2007
We identified it
Jun 21, 2026
Summary
Effective July 1, 2007, specific Value Codes (A1, A2, A7, B1, B2, B7, C1, C2, C7) can no longer be used on electronic claims and must be replaced with new coding in the CAS segment. Coinsurance and deductible information must now be reported using Patient Responsibility codes in a different location on electronic claims.
Action Required
Immediately: Billing team must update electronic claims submission software to stop using Value Codes A1, A2, A7, B1, B2, B7, C1, C2, and C7. Configure system to report coinsurance and deductibles in Loop 2320 CAS segment using Patient Responsibility codes (1=Deductible, 2=Coinsurance) instead of Loop 2300 HI segment. Contact billing software vendors and clearinghouses to ensure system compliance with MEDI IEC requirements.