May 2021

HFS IMPACT File Discrepancies Causing Claim Rejections: Issue Resolved

As mentioned in an October News and Updates notice, Blue Cross and Blue Shield of Illinois (BCBSIL) became aware of some data discrepancies 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 discrepancies 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 Plans^SM (BCCHP^SM) 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.