MedicaidAdministrativeMedium impact
BT202591: New process developed for FFS claim inquiries, administrative reviews and appeals submitted in bulk
Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Jun 26, 2025
We identified it
Jun 18, 2026
Summary
Indiana Medicaid has implemented a new bulk submission process for claim inquiries, administrative reviews, and appeals. When 30 or more submissions are made by the same provider on the same date, only the first claim will receive a detailed response, and subsequent submissions will reference that initial response.
Action Required
Immediately: Billing team must avoid submitting 30 or more claim inquiries, administrative reviews, or appeals on the same date to prevent bulk processing. Review IHCP companion guides before claim submission to ensure correct filing indicators are used in 837 transactions. Follow proper steps outlined in Claim Administrative Review and Appeals provider reference module before any submission. Failure to comply may result in limited responses and mandatory education sessions.