BT202590: IHCP reminds providers of the FFS administrative review and appeals policy and processes

Immediately: Review current administrative review processes to ensure compliance with IHCP requirements. Verify billing team uses correct claim filing codes: MA/MB for Medicare primary, 16 for Medicare Advantage primary, CI for non-Medicare primary. Ensure administrative review requests are submitted within 60 days of remittance advice date through IHCP Portal. Train staff on proper prior authorization requirements and 180-day timely filing limits.