215 ILCS 111/1
Short title
Short title. This Act may be cited as the Uniform Electronic Transactions in Dental Care Billing Act. (Source: P.A. 102-146, eff. 7-23-21.)
Illinois Compiled Statutes 215 ILCS 111 — Uniform Electronic Transactions in Dental Care Billing Act.
Illinois · statute · 215 ILCS 111 · 10 active provisions
215 ILCS 111/5
Purpose
Purpose. The purpose of this Act is to standardize the forms used in the billing and reimbursement of dental care, reduce the number of forms used, increase efficiency in the reimbursement of dental care through standardization, and encourage the use of and prescribe a timetable for implementation of a secure electroni…
215 ILCS 111/10
Applicability
Applicability. Except as may be otherwise specifically provided, this Act applies to all dental plan carriers. (Source: P.A. 102-146, eff. 7-23-21.)
215 ILCS 111/15
Definitions
Definitions. As used in this Act: "Department" means the Department of Insurance. "Director" means the Director of Insurance. "Dental care provider" means a dentist who bills for services in Illinois. "Dental plan carrier" means an entity subject to the insurance laws and regulations of this State or subject to the jur…
215 ILCS 111/20
Uniform electronic claims and eligibility transactions required
Uniform electronic claims and eligibility transactions required. (a) Beginning January 1, 2027, no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction except as provided in this Act. (b) All…
215 ILCS 111/25
Rules; modification of rules
Rules; modification of rules. (a) The Department may adopt rules as necessary to implement this Act and may establish further exemptions to this Act by rule. (b) A dental plan carrier or dental care provider may not add to or modify the uniform electronic claims and eligibility requirements adopted by the Department. (…
215 ILCS 111/30
(This Section may contain text from a Public Act with a delayed effective date) Sec
(This Section may contain text from a Public Act with a delayed effective date) Sec. 30. Exemptions. (a) Notwithstanding any other provision of this Act, a dental care provider shall not be required to submit claims electronically under any of the following circumstances: (1) There is a temporary technological event, d…
215 ILCS 111/35
(This Section may contain text from a Public Act with a delayed effective date) Sec
(This Section may contain text from a Public Act with a delayed effective date) Sec. 35. Eligibility and benefit verification portal. (a) Each dental plan carrier shall establish a portal as described in this Section and shall include information about each type of subscription contract that is sufficient to allow subs…
215 ILCS 111/40
(This Section may contain text from a Public Act with a delayed effective date) Sec
(This Section may contain text from a Public Act with a delayed effective date) Sec. 40. Payment. Nothing in this Act requires a dental care provider to only accept electronic payment from a dental plan carrier. (Source: P.A. 104-203, eff. 1-1-27.)
215 ILCS 111/99
Effective date
Effective date. This Act takes effect upon becoming law. (Source: P.A. 102-146, eff. 7-23-21.)