ILLINOIS MEDICAL BILLING & RCM SERVICES

HFS Medicaid runs through six HealthChoice Illinois plans. NGS processes Medicare Part A and B out of Indianapolis, sharing coverage policy with Minnesota and Wisconsin. Blue Cross Blue Shield of Illinois sits on both the commercial and Medicaid side of the table. We bill correctly against all four, every time.
HFS runs Medicaid for roughly 3 million residents through six managed care organizations: Aetna Better Health, Blue Cross Blue Shield of Illinois, CountyCare, Meridian Health Plan, Molina Healthcare, and YouthCare. Blue Cross Blue Shield of Illinois also holds the state's largest commercial book. The same logo can mean two different adjudication rulebooks, depending on which card the patient hands you.

Medicare doesn't run its own office here either. NGS, a contractor based in Indianapolis, processes Part A and B claims for Illinois alongside Minnesota and Wisconsin, and writes local coverage policy for all three states at once. A code that clears in Milwaukee doesn't always clear in Springfield.
Aetna Better Health of Illinois:
CVS Health-owned Medicaid plan
Blue Cross Blue Shield of Illinois:
commercial leader and Medicaid MCO
CountyCare Health Plan:
Cook County's own managed care plan
Meridian Health Plan of Illinois:
Centene-owned Medicaid MCO
Molina Healthcare of Illinois:
national Medicaid and Medicare carrier
YouthCare:
DCFS-affiliated plan for youth in state care