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BT2026172: IHCP clarifies guidance for submitting FQHC/RHC claims with third-party liability
Effective date
Not stated in the notice
Identified
Oct 16, 2026
Summary
IHCP clarifies that third-party liability (TPL) payment information for FQHC/RHC claims must be submitted at both claim header and service detail levels, with detail-level TPL amounts entered specifically with the T1015 or D9999 encounter code—not with individual service codes. Incorrect placement of TPL payments with service details may result in provider recoupments.
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What to do
Action · 3 steps
01Billing team should immediately verify that the practice's IHCP Portal billing workflow correctly routes all TPL payment information to the T1015 or D9999 detail line (encounter code detail) rather than to individual service code details for FQHC/RHC claims.
02Review submitted claims from 2026-10-15 forward to confirm compliance and audit any recent claims with TPL payments to ensure they were entered at the correct detail level.
03Non-compliance may trigger provider recoupments per the source policy.
Codes mentioned
T1015D999992012
Original notice
BT2026172: IHCP clarifies guidance for submitting FQHC/RHC claims with third-party liability
in.gov · Always check the source before changing claims.
Related changes
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