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Indiana Medicaid (IHCP)Medicaid · Administrative · Provider Bulletin · INMedium impact

BT202469: IHCP to reprocess claims as needed that denied with EOB 1010

Act
by Dec 19, 2024
Effective date
Oct 1, 2023
Identified
Jun 19, 2026

Summary

IHCP will automatically reprocess claims that incorrectly denied with EOB code 1010 due to rendering provider enrollment issues for services before October 1, 2023. The system has been updated so the October 1, 2023 cutoff now applies to service dates rather than claim receipt dates.

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What to do

by Dec 19, 2024 · 2 steps
01Review remittance advices starting June 26, 2024 for reprocessed claims with ICNs beginning with '80'.
02If you have additional claims that denied with EOB 1010 for services before October 1, 2023, resubmit them within 180 days of May 23, 2024 and include a copy of bulletin BT202469 to satisfy timely filing requirements.

Original notice

BT202469: IHCP to reprocess claims as needed that denied with EOB 1010
in.gov · Always check the source before changing claims.
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Related changes

See all Indiana Medicaid (IHCP) changes →
BT2023137: Claims that denied for some rendering providers to be reprocessedMediumEffective Nov 22, 2023 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list

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