QCHP (Cigna through June 30, 2017 and Aetna from July 1, 2017 moving forward), HealthLink OAP, Aetna OAP & QCDP (Delta Dental) Claim Payment Delay
Thanks to a large bond issued by the State of Illinois last November, CMS was able to fund group health insurance with $3.9B to significantly reduce the $5B backlog.
The following claims have been paid:
Quality Care Health Plan (plans will be administered by Cigna for services through June 30, 2017) (Updated 03/15/2018)
Claims processed through 11/18/2017 have been released to QCHP-contracted providers.
Claims processed through 11/18/2017 have been released to non-QCHP-contracted providers.
HealthLink OAP (Updated 03/15/2018)
Claims processed through 09/01/2017 have been released.
Aetna OAP (Updated 03/07/2018)
Claims processed through 08/09/2017 have been released.
Quality Care Dental Plan (administered by Delta Dental of Illinois) (Updated 03/07/2018)
Claims processed through 08/20/2017 have been released to PPO-contracted providers.
Claims processed through 08/20/2017 have been released to Premier-contracted providers
Claims processed through 04/23/2017 have been released to Non-network providers. http://soi.deltadentalil.com/
Check this site for claim payments as they are updated with your provider. This information will be updated when the release date changes.
Note: CMS remains committed to ensuring providers are paid on a “first in, first out” basis. Members’ EOB’s will be available as payments are made. If your provider required you to pay upfront prior to rendering services, you are eligible for the late payment interest accrued. Please work with your healthcare provider if you believe you are eligible to receive interest.