Find information here about conducting business transactions with the Indiana Health Coverage Programs, including member eligibility, billing, reimbursement and recordkeeping.

• IHCP Provider Healthcare Portal
• Eligibility Verification
• Qualified Provider Presumptive Eligibility
  • Presumptive Eligibility for Inmates
  • Presumptive Eligibility Process FAQs
• Electronic Visit Verification
• Electronic Data Interchange Solutions
  • IHCP Companion Guides
  • Trading Partner Registration Procedure
  • Software Testing Procedures
  • Common Compliance Errors Detected by the IHCP Translator
  • FAQs - EDI
• Billing and Remittance
  • Code Sets
  • IHCP Fee Schedules
  • Long Term Care Per Diem Table
  • Diagnosis-Related Group Inpatient Reimbursement
  • Explanation of Benefits
  • Best Practices for Nonpharmacy Claims
  • Claim Administrative Review and Appeal
• Program Integrity
  • Medicaid Recovery Audit Contractor Overview
  • Protocol for Voluntary Self-Disclosure of Provider Overpayments
• Health Insurance Portability and Accountability Act
  • Privacy and Security of Health Records
• Indiana Medicaid Promoting Interoperability Program
  • Registering for the Indiana Medicaid Promoting Interoperability Program
  • Attestation Documentation Requirements
  • Promoting Interoperability Audit Guidelines
  • FAQs - Indiana Medicaid Promoting Interoperability Program
  • Additional Program Resources