IHCP will mass adjust claims with details that denied incorrectly due to manual pricing

The Indiana Health Coverage Programs (IHCP) has identified a claim processing issue affecting claims with detail line items that require manual pricing processed on or after February 13, 2017. Claim details denied incorrectly for explanation of benefits (EOB) 6000 – The payment has been calculated according to current Indiana Health Coverage Program Policies. The claims processing system is being corrected. All affected claims will be systematically adjusted. The IHCP will issue a publication indicating when these adjustments will occur and when providers can expect to see them on their Remittance Advice (RA).

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INDUSTRY NEWS TAGS: Medicaid Indiana

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