Summary

This document is a Detailed Network Discount Analysis spreadsheet for the SEGIP Outpatient State of Illinois medical plan (Contract ID: 26-416CMS-BENF4-B-48962). It represents a comprehensive provider network assessment involving the State of Illinois and multiple healthcare providers across the United States. The analysis requests documentation of in-network status and negotiated outpatient discount percentages for hundreds of healthcare facilities, including hospitals, ambulatory surgery centers, endoscopy centers, and specialty clinics spanning multiple states such as Maine, Florida, New York, Massachusetts, Connecticut, Pennsylvania, and numerous others.

The spreadsheet functions as a template requiring vendors to identify whether each listed provider is in-network or out-of-network and to provide the estimated outpatient discount percentages negotiated with each facility. The document requests documentation of the methodology used to pay out-of-network providers and inquires whether the Agency (State of Illinois) will have the ability to dictate customization of out-of-network provider payment options. The analysis includes over 1,000 provider entries with Tax Identification Numbers (TINs), provider names, cities, states, and zip codes, establishing the scope of the proposed medical plan's network structure across a geographically diverse service area.