2.10.09

WHEN THE SINGLE PAYER RUNS OUT OF MONEY. The Personnel Department (which Northern Illinois refers to as Human Resources) circulated this:
Human Resource Services continues to receive inquiries and reports regarding claim payment delays associated with the Quality Care Health Plan (QCHP) and Quality Care Dental Plan (QCDP). The State has significantly delayed payment of employee health insurance claims, which has greatly affected our employees and service providers throughout the community and region. We have received many reports that medical and dental service providers throughout the state are requiring/requesting that employees pay for services or enter into payment plans at the time services are provided. Today, Central Management Services (CMS) posted a notice regarding the claim payment delays on the CMS State Employees Group Insurance website which can be accessed at: http://www.state.il.us/cms/3_servicese_ben_choice/defaultFY07.htm.

Generally, the notice indicates that QCHP claims processed through 3/7/09 for in-network providers have been released for payment. Claims processed through 2/8/09 for out-of-network providers have been released for payment. Thus, the current claims payment delay is approximately seven months for QCHP-contracted providers and eight months for non-QCHP-contracted providers. Current dental payments are released 112 days from the process date of the claim. CMS will periodically update this information as release dates are adjusted.
[The bold is as in the original] I suppose that's shared sacrifice, and when 112-day payment cycles become The Law of The Land it will be in the national interest.

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