State Employee Claim Payment Update

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 06/12/2018)
Claims processed are current.​
Quality Care Health Plan (plans will be administered by Aetna for services beginning 7/1/17(Updated 06/12/2018)
Claims processed through 11/26/2017  have been released.
HealthLink OAP (Updated 06/12/2018)
Claims processed through 12/04​/2017 have been released.
Aetna OAP (Updated 06/12/2018)
Claims processed through 11/26​/2017 have been released.
Coventry OAP (Updated 06/12/2018)

Claims processed are current.

Quality Care Dental Plan (administered by Delta Dental of Illinois) (Updated 06/12/2018)
Claims processed through 12/10/2017 have been released to PPO/Premier providers.
Claims processed through 08/13/2017 have been released to Non-network providers. 

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.


Updated 06/12/2018