As an Indiana Health Coverage Programs (IHCP) provider, what's the best way for you to submit Medicaid claims? 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:
- Best Practices for Claim Submission
- 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)
- Claim Administrative Review and Appeal
For general information about completing and submitting fee-for-service (FFS), nonpharmacy 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 provider reference modules.
The IHCP also develops quick reference guides (QRGs) to assist in areas where a number of providers have expressed a need for additional clarification. The following QRG outlines the process related to third-party liability (TPL) billing when submitting paper claims:
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