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Indiana Medicaid (IHCP)Medicaid · Administrative · Claims & Billing · INMedium impact

BT202494: IHCP identifies FFS claim-processing issue that occurred June 19, 2024

Act
immediately
Effective date
Jun 19, 2024
Identified
Jun 19, 2026

Summary

IHCP identified a system error on June 19, 2024 that incorrectly denied fee-for-service claims with specific EOB codes. The system has been corrected and affected claims will be automatically reprocessed with ICNs beginning with 80.

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What to do

immediately · 3 steps
01Billing team should monitor for reprocessed claims with ICNs/Claim IDs beginning with 80 to confirm previously denied claims from June 19, 2024 are now being paid.
02Review any claims denied on June 19th with EOB codes 4107, 0532, 4218, 4975, 9999, or 2033 to ensure they are reprocessed correctly.
03No resubmission is required as claims will be reprocessed automatically.

Original notice

BT202494: IHCP identifies FFS claim-processing issue that occurred June 19, 2024
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT2023155: Fee-for-service claims that denied in error to be mass adjusted or reprocessedMediumEffective Nov 7, 2023 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list

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