illinois.gov

Website:http://www.illinois.gov
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Definitions (25)

1

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A system generated number which a provider must use to locate their enrollment during revalidation or track their application in the system.​
Source: illinois.gov

2

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association​


An action taken by a provider to "associate" themselves to another entity.​
Source: illinois.gov

3

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atypical agency provider​


A facility, agency, or organization that is not required to obtain an NPI (National Provider Identifier) in order to enroll in the IMPACT system.​
Source: illinois.gov

4

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atypical individual provider​

Source: illinois.gov

5

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atypical provider​


A provider who is delivering services to Medicaid clients that are not considered to be health care services.  These providers are not required to obtain an NPI (National Provider Identifier).  The Ce [..]
Source: illinois.gov

6

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billing agent​


A business authorized to submit Medicaid HIPAA compliant transactions; an entity who exchanges Electronic Protected Health Information (ePHI) on behalf of Medicaid Providers or other authorized partie [..]
Source: illinois.gov

7

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billing provider​


A provider who submits claims and/or receives payments for an Individual Rendering/Servicing or Sole Proprietor provider. The Billing Provider must be approved in IMPACT prior to the submission of a n [..]
Source: illinois.gov

8

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clearinghouse​


A Clearinghouse is the business authorized to submit Medicaid HIPAA compliant transactions; an entity who exchanges Electronic Protected Health Information (ePHI) on behalf of Medicaid Providers or ot [..]
Source: illinois.gov

9

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comptroller​


The state agency which certifies the validity of a TIN (Tax Identification Number) as reported by the provider.  All TINs must be certified by the Comptroller prior to enrollment into IMPACT.​
Source: illinois.gov

10

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An application denied by the Office of Inspector General based on Sanctions, Criminal Background checks or other identified problems.​
Source: illinois.gov


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