As a Medicaid provider, what's the best way for you to submit claims to the Indiana Health Coverage Programs (IHCP)? It's a big topic and an important one. Whether you're new to Medicaid or have been a provider for years, the following pages are designed to help answer your billing and remittance questions:
- Code Sets
- IHCP Fee Schedules
- Long-Term Care Durable Medical Equipment (DME) Per Diem Table
- Diagnosis-Related Group (DRG) Inpatient Reimbursement
- Explanation of Benefits (EOB)
- Best Practices for Claim Submission
- Claim Administrative Review and Appeal
For general information about billing and submitting claims, including step-by-step instructions, see the Claim Submission and Processing provider reference module. Other modules contain billing information specific to certain providers, services or programs. See the IHCP Provider Reference Modules page for a complete set of IHCP provider reference modules.
The IHCP also develops quick reference guides (QRGs) to assist providers with conducting certain business practices. The following QRG outlines the process related to third-party liability (TPL) billing when submitting paper claims:
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