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Eligibility verification

Providers are responsible for verifying eligibility every time a member is seen in the office. Preferred primary care providers (PPCPs) should also verify that a member is assigned to them.

Ways to verify eligibility 

 

Providers have multiple options to verify a member’s eligibility.

Our secure Provider Portal

You can verify eligibility by accessing our secure portal.

The Recipient Eligibility Verification (REV) program

Providers can accept verification of enrollment in an Aetna Better Health® of Illinois plan from the REV system, instead of using the member ID card.

Call to use the interactive voice response (IVR) system

Reach our IVR system at 1-866-329-4701 (TTY: 711).

Providers with access to Medical Electronic Data Interchange (MEDI)

MEDI is a state system that provides a container for authorization information for access to the Illinois Department of Healthcare and Family Services (HFS) internet applications. To access MEDI, please use the link below.

 

Do you need more information or have a question?

Call Provider Services at 1-866-329-4701 (TTY: 711).