Denied Claim Agreement For Primary Eob In Illinois
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FAQ
Effective April 2024 – March 2025, the medically needy income limit (MNIL) in IL is $1,255 / month for an individual and $1,703 / month for a couple.
You must file claims within 180 days from the date you provided services, unless there's a contractual exception.
Providers sending professional and supplier claims to Medicare on paper must use Form CMS-1500 in a valid version. This form is maintained by the National Uniform Claim Committee (NUCC), an industry organization in which CMS participates.
A corrected claim is a request for review of a claim denied due to incorrect coding or missing information that prevents Aetna Better Health® of Illinois from processing the claim. The claim with the missing information may be resubmitted electronically or in hard copy.
A claim correction may be submitted online via the Direct Data Entry (DDE) system.
You'll need to fill out a claim form. You must file claims within 180 days from the date you provided services, unless there's a contractual exception. For inpatient claims, the date of service refers to the member's discharge date.
Call the DHS Customer Service Helpline for assistance at: (800) 843-6154 voice/(866) 324-5553 TTY, Monday through Friday, a.m. to p.m., except state holidays.
Mail your completed claim form to the Medicare contractor responsible for processing your claim. If you need additional assistance, call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. You have the right to get Medicare information in an accessible format, like large print, Braille, or audio.
