Transcription of Claim Submission and Processing
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Claim Submission and Processing
INDIANA HEALTH COVERAGE PROGRAMS. PROVIDER REFERENCE MODULE. Claim Submission and Processing LIBRARY REFERENCE NUMBER: PROMOD00004. PUBLISHED: JANUARY 23, 2018. POLICIES AND PROCEDURES AS OF JULY 1, 2017. VERSION: Copyright 2018 DXC Technology Company. All rights reserved. Revision History Version Date Reason for Revisions Completed By Policies and procedures as of New document FSSA and HPE. October 1, 2015. Published: February 25, 2016. Policies and procedures as of Scheduled update FSSA and HPE. July 1, 2016. Published: December 15, 2016. Policies and procedures as of CoreMMIS update FSSA and HPE. July 1, 2016. (CoreMMIS updates as of February 13, 2017). Published: May 23, 2017. Policies and procedures as of Scheduled update: FSSA and DXC. July 1, 2017 Edited and reorganized text for clarity Published: January 23, 2018 Added a note encouraging providers to submit claims electronically Changed Hewlett Packard Enterprise references to DXC Technology Clarified as needed throughout that Medicare Replacement Plan claims are a type of crossover Claim Updated the Fee-for-Service Billing for Carved-Out Services section as follows: Added crisis intervention and Hepatitis C pharmacy services as carve-outs Removed dental and pharmacy as carve-outs for Hoosier Healthwise (moved to note box for past DOS.)
Revision History Claim Submission and Processing Library Reference Number: PROMOD00004 v Published: January 23, 2018 Policies and procedures as of July 1, 2017
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