Do you check whether we are being paid our contracted rate?

Yes. Payments are reconciled against the expected rate line by line, and variances are worked. Underpayment is the loss most practices never see, because the claim shows as paid.

Do you handle Illinois Medicaid and HealthChoice plans?

Yes, tracked separately, with enrollment confirmed per provider per plan.

Can you work inside our existing system?

Yes. We bill in the practice management system you already use — no migration and no new software for your staff.

What does the free A/R review involve?

Send an aging summary and a sample of denials. You get a written read on what is recoverable and what is leaking, at no cost and with no obligation.

Illinois

Medical billing for Illinois practices

Illinois is a concentrated commercial market with a heavily managed Medicaid program, which means two very different billing disciplines in one practice: contract-rate accuracy on the commercial side, and enrollment and authorization discipline on the Medicaid side.

Underpayments, not just denials

In a market with a dominant commercial payer, the money lost quietly is underpayment rather than denial: a claim paid, posted and closed at less than the contracted rate. Payments are posted line by line and reconciled against the fee schedule, so a short payment surfaces as a variance to work rather than disappearing into a balance that looks settled.

HealthChoice plan enrollment

Each HealthChoice Illinois plan loads providers separately. A claim denied as a non-participating provider when the practice believes it is enrolled is almost always a plan-level gap rather than a state-level one. Participation is confirmed per provider per plan, and revalidations are tracked against their deadlines.

Chicago-area multi-site practices

Practices running several sites across the metro area often hold different contracts per site. Claims and reporting are separated by location so collections can be compared, which is how a contracting problem at one site becomes visible instead of averaging out across the group.

Illinois Medicaid

Most Illinois Medicaid members are enrolled in a HealthChoice Illinois plan. The plan sets the authorization rules and pays the claim, so being active with the state is only half of being billable.

Program: Illinois Medicaid
Administered by: Illinois Department of Healthcare and Family Services
Managed care: HealthChoice Illinois

Payers we work in Illinois

Blue Cross and Blue Shield of Illinois
UnitedHealthcare
Aetna
Cigna
Humana
HealthChoice Illinois plans

Not an exhaustive list, and not a claim of network participation on your behalf — your contracts are yours. It is the payer mix we are set up to work in Illinois.

Services available to Illinois practices

Billing in Illinois — common questions

Do you check whether we are being paid our contracted rate?: Yes. Payments are reconciled against the expected rate line by line, and variances are worked. Underpayment is the loss most practices never see, because the claim shows as paid.
Do you handle Illinois Medicaid and HealthChoice plans?: Yes, tracked separately, with enrollment confirmed per provider per plan.
Can you work inside our existing system?: Yes. We bill in the practice management system you already use — no migration and no new software for your staff.
What does the free A/R review involve?: Send an aging summary and a sample of denials. You get a written read on what is recoverable and what is leaking, at no cost and with no obligation.

Everywhere else

All billing services

Next step

Start with the free A/R review.

Send an aging summary and a handful of denials. You get a written read on what is recoverable — no fee, no obligation to sign anything.

Book the A/R review See pricing