305 ILCS 5/5F-33
(305 ILCS 5/5F-33) Sec. 5F-33. Payment of claims.
(a)Clean claims, as defined by the Department, submitted…#
(a) Clean claims, as defined by the Department, submitted by a provider to a managed care organization in the form and manner requested by the managed care organization shall be reviewed and paid within 30 days of receipt.
(b)A managed care organization must provide a status…#
(b) A managed care organization must provide a status update within 60 days of the submission of a claim.
(c)A claim that is rejected or denied shall clearly state…#
(c) A claim that is rejected or denied shall clearly state the reason for the rejection or denial in sufficient detail to permit the provider to understand the justification for the action.