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BT2023155: Fee-for-service claims that denied in error to be mass adjusted or reprocessed
Act
immediately
Effective date
Nov 7, 2023
Identified
Jun 19, 2026
Summary
The Indiana Health Coverage Programs (IHCP) identified fee-for-service claims that incorrectly denied between October 23-25, 2023 with EOB codes 4021 and 4801. These claims are being automatically mass adjusted or reprocessed, and providers will see corrected payments on upcoming remittance advices with specific ICN prefixes.
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What to do
immediately · 3 steps
01Billing team should monitor upcoming remittance advices for reprocessed claims with ICNs beginning with '80' (reprocessed denied claims) or '52' (mass replacements).
02Review any waiver claims from Oct 23, 2023 or medical service claims from Oct 24-25, 2023 that previously denied with EOB codes 4021 or 4801 to confirm they are being automatically corrected.
03Contact Customer Assistance at 800-457-4584 if expected reprocessed claims do not appear.
Original notice
BT2023155: Fee-for-service claims that denied in error to be mass adjusted or reprocessed
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT2023137: Claims that denied for some rendering providers to be reprocessedMediumEffective Nov 22, 2023 · Provider BulletinBT202494: IHCP identifies FFS claim-processing issue that occurred June 19, 2024MediumEffective Jun 19, 2024 · Claims & BillingBT2024184: Fee-for-service claims denied incorrectly Oct. 8-31MediumNo effective date · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list