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  1. www.in.gov › medicaid › providersIndiana Medicaid: Providers: Forms - IN.gov

    Find the TPL forms for Indiana Health Coverage Programs (IHCP) providers, such as claim adjustment, special attachment, and provider correspondence forms. The forms are available in PDF format and may be required for transactions conducted via the IHCP Portal.

  2. www.in.gov › medicaid › filesThird-Party Liability - IN.gov

    7 wrz 2023 · This document explains the policies and procedures for third-party liability (TPL) in Indiana Health Coverage Programs (IHCP). It covers topics such as payer of last resort, cost avoidance, health insurance, liability insurance, services exempt from TPL, TPL reimbursement, prior authorization, billing and documentation, and more.

  3. www.in.gov › medicaid › providersMedicaid Third-Party Liability Questionnaire - IN.gov

    This questionnaire is sent to Indiana Health Coverage Programs (IHCP) providers if a third-party payment is reported on a claim, but the IHCP has no record of the member’s coverage with that carrier. If this questionnaire is received by mail, please return it within the next 15 days.

  4. provider.indianamedicaid.com › ihcp › BannersIHCP banner page

    Learn how to submit paper claims with detail-level TPL information for certain claim types, such as medical, home health, outpatient, and dental. Find the form and the QRG on the Forms page at indianamedicaid.com.

  5. provider.indianamedicaid.com › ihcp › BulletinsIHCP revises guidance for submitting TPL and Medicare information...

    The Indiana Health Coverage Programs (IHCP) provides guidance on how to submit third-party liability (TPL) and Medicare information at the detail level for certain claim types in the new CoreMMIS system. The bulletin also announces a supplemental form for paper claims and the adjustment process.

  6. provider.indianamedicaid.com › ihcp › BannersPaper claims with TPL or Medicare information must include the...

    TPL and Medicare information must be provided at the detail level for certain claim types. Please refer to CoreMMIS Bulletin BT201667 and Banner Page BR201706 for details and clarification.

  7. www.medicaid.gov › medicaid › spaTable of Contents State/Territory Name: Indiana State Plan...

    Effective December 31 st, 2021 system edits will be updated to require TPL resource validation prior to making payment determinations for claims that contain services for prenatal care including labor and delivery and postpartum care.

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