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Ihcp Quick Reference Guide

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Indiana Health Coverage Programs Prior Authorization ...

www.mdwise.org

IHCP Quick Reference Guide . for information about where to mail this form. Check the radio button of the entity that must authorize the service. (For managed care, check the member’s plan, unless the service is carved out [delivered as fee-for-service].)

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IHCP Quick Reference Guide Contact Information

www.in.gov

IHCP Quick Reference Guide – Contact Information Version 9.1 3 March 2021 Healthy Indiana Plan Anthem Provider Services Anthem.com 1-844-533-1995 Fax: 1-866-408-7087 Member Services 1-866-408-6131 Claims Anthem Reimbursement Prior Authorization – Medical and Substance Use Disorder (SUD) Anthem PA 1-844-533-1995

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Inpatient Hospital Services

www.in.gov

Jun 11, 2020 · Library Reference Number: PROMOD00035 3 Published: June 11, 2020 Policies and procedures as of March 1, 2020 Version: 4.0 Inpatient Admission Criteria The IHCP follows Milliman guidelines for all nonemergency and urgent care inpatient admissions. If IHCP

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Claim Submission and Processing

www.in.gov

Claim Submission and Processing Section 1: Introduction to IHCP Claim Submission and Processing 2 Library Reference Number: PROMOD00004 Published: March 23, 2021 Policies and procedures as of July 1, 2020 Version: 5.0 For claim information specific to a particular provider service, see the appropriate provider reference module.

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