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BT202641: IHCP corrects telehealth E/M FFS claim processing for established patient codes
Effective date
Jan 1, 2025
Identified
Jun 18, 2026
Summary
Indiana Medicaid (IHCP) corrected a system error that was inappropriately denying established patient telehealth E/M claims by applying new patient visit restrictions to the wrong codes. Previously denied claims will be automatically reprocessed and paid starting April 1, 2026.
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What to do
Action · 2 steps
01Monitor remittance advices starting April 1, 2026 for reprocessed claims with ICNs beginning with 80.
02Continue billing established patient telehealth E/M services using codes 98004-98007 and 98012-98013 normally - no system changes needed as IHCP has corrected their processing error.
Codes mentioned
980049800598006980079801298013
Original notice
BT202641: IHCP corrects telehealth E/M FFS claim processing for established patient codes
in.gov · Always check the source before changing claims.
Related changes
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