HFS IMPACT File Discrepancies Causing Claim Rejections Has Been Resolved

April 8, 2021

As mentioned in a News and Updates notice, Blue Cross and Blue Shield of Illinois (BCBSIL) became aware of some data discrepancy issues last fall with the Illinois Department of Healthcare and Family Services (HFS) Illinois Medicaid Program Advanced Cloud Technology (IMPACT) file we receive from HFS. These issues may have caused a provider to be depicted as inactive on the HFS IMPACT file in error. This issue has been resolved.

Effective May 10, 2021, the pharmacy override process to bypass the “Prescriber not enrolled in IMPACT” message will no longer be active for providers rendering services to Blue Cross Community Health PlansSM (BCCHPSM) members.

As directed by HFS, our system will reject claims if a provider is listed as inactive for any reason on the HFS IMPACT file. Please validate and confirm the accuracy of your data on the HFS IMPACT portal, including effective dates and other data elements, prior to filing a claim.

Feel free to contact our Customer Service at 877-860-2837 or your assigned Provider Network Consultant with any questions.