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August 2025
From Recess to Resources: Your Back-to-School Billing Guide
As summer winds down and backpacks start filling with fresh notebooks and sharpened pencils, it’s also a good time for us in public health to get “back to the basics.” Just like students brushing up on their math and reading skills, billing teams can use this season as a chance to refresh third-party billing practices, stay organized, and prepare for the busy months ahead. In this issue, we’ll share updates, tips, and reminders to help you start the fall strong and keep your billing processes running smoothly.
Your Feedback Needed!
Aetna Better Health of Illinois has asked to share the following message:
Aetna Better Health ® of Illinois values the opinions of providers who serve our members. We’re currently working with Press Ganey, an independent research firm, to conduct a provider satisfaction survey. Your office may receive a survey in the mail from Press Ganey. When you’re contacted, we encourage you to complete the survey—either online using your unique log-in credentials or by filling out the form and returning it in a postage-paid envelope. Your valuable feedback helps our health plan expand on what we’re doing well and find opportunities to improve. Your response is needed by September 5, 2025. Thank you for partnering with us to improve the health of our members, families and communities.
Molina Healthcare of Illinois invites you to join the upcoming live webinars:
- Lactation Consultant Billing, Thursday, September 11, 1:00 PM. Register here.
- Doula Billing, Thursday, September 25, 1:00 PM. Register here.
Looking for something else? Explore our 2025 schedule of live webinars exclusively for Illinois providers. Meanwhile, register for provider updates to receive notices for upcoming sessions.
Blue Cross Blue Shield of Illinois invites you to join the upcoming live webinars:
- Provider Contracting and Credentialing on August 26 from 10:00 AM to Noon. Register here
- Prenatal and Postpartum Care and Prenatal Depression Screening and Follow Up on November 4 from Noon to 12:30 PM. Register Here.
Blue Cross Blue Shield of Illinois offers free webinars and workshops for contracted providers. A list of On Demand trainings and Upcoming webinars can be found here.
Recent Trainings
Illinois Public Health Association’s Third-Party Billing Team hosted the following webinar:
Aetna Better Health of Illinois
The Summer Newsletter can be found here.
Aetna Better Health® of Illinois’ appointment and availability standards are based on standards from the Illinois Department of Healthcare and Family Services (HFS) and the National Committee for Quality Assurance (NCQA) for timely access to care and services. For more details regarding Appointment and Availability Standards Click Here.
Contact your Provider Relations representative with any questions.
BlueCross BlueShield of Illinois
The August issue of Blue Review is available here. If you have not already subscribed to receive this publication, you may sign up here.
To contact your Provider Network Consultant, visit Provider Network Consultant Assignments for more information.
The Q3 2025 issue of Humana Physician News is available here. If you have not already subscribed to receive publications from Humana, you may sign up here.
The Humana Gold-Plus Integrated provider manual, effective June 15, 2025, can be found here.
Humana’s Resource Sheet for Healthcare Providers is a one-stop resource containing essential information on a variety of important topics for providers.
August’s Monthly Provider Check-In can be found here.
Meridian town halls are back! Meridian is hosting in-person, town hall meetings throughout the state. This is an excellent opportunity to connect with Provider Relations, Claims, and Utilization Management teams; get questions answered, and forge stronger relationships. Find the Townhall nearest you here.
Meridian recently updated Resolving Common Claims Rejections, a resource that provides tips on resolving and avoiding rejected claims.
Contact your organization's assigned Provider Engagement Administrator or representative for seamless support. For those without an assigned representative, please complete the intake form or contact them through their website: here.
MolinaPalooza is back and better than before! Providers and staff are invited for a day packed with learning and laughs, featuring your dedicated provider relations manager. Details and event registration can be found here.
Molina is sharing a summary of recent news pertinent to your practice/facility. Memo topics include: Rate/Fee Schedule Updates for August, Transitioning to Multi-Payer Availity Authorization Tool, and much more! You can find the ‘Memo Roundup’ here. To register for Illinois provider updates, so you don’t miss any bulletins, Click Here.
The Second Quarter Provider Newsletter, Illinois Edition, can be found here.
Contact your dedicated Provider Relations Manager or email the Provider Relations team at MHILProviderNetworkManagement@MolinaHealthcare.com. To help identify your dedicated provider relations manager, visit Molina's Service Area map.
The August issue of Network News contains important notifications and updates for healthcare providers.
The August 2025 Reimbursement Policy Update can be found here.
The News Your Way feature allows you to customize your subscription to receive information and updates specific to your role, specialty, and state. Click here to subscribe or update your preferences.
BlueCross BlueShield of Illinois has changed how claims are processed for members with Blue Cross Community Health Plans. Starting August 1, providers must use the new three-character prefix ‘XXL’ on claims and use Payer ID 66012 when submitting an electronic claim. The mailing address for paper claims with attachments has also changed. More information on this change can be found here.
Electronic Visit Verification (EVV) is a technology-based system that efficiently verifies home healthcare visits. EVV reduces the likelihood of error while promoting program integrity through practical and simple monitoring. There are a variety of ways to ensure you do not miss important updates or information:
- Sign up for Illinois Department of Healthcare and Family Services (HFS) EVV Provider Notices.
- Visit Illinois’ Electronic Visit Verification (EVV) website.
- Review EVV Townhall recorded meetings and slides here.
HFS has recently issued several important Provider Notices:
- Upcoming All-Kids School-Based Dental Programs conference call Tuesday August 19, 2025
- IM+CANS Provider Portal System Update
A complete list of HFS Provider Notices can be found here.
If you have not already subscribed to receive email notifications from HFS when new Provider Notices are posted, you may subscribe here. To learn more about the many helpful resources available to healthcare providers, please visit the HFS Provider website.
If you have any questions or suggestions for topics that you would like to see covered in future issues of the IPHA Billing Digest, please email your suggestions and/or requests to insurancebilling@ipha.com. Your feedback is valuable and appreciated.
Thank you!
