IHCP Quick Reference Guide Contact Information

IHCP Quick Reference Guide Contact Information General Provider Customer Assistance Provider Enrollment Third-Party Liability (TPL) Fraud and Abuse Reporting Long-Term Care Rate- Information 1-800-457-4584 Setting IHCP Provider Enrollment IHCP TPL Office of Medicaid Policy & Planning for the (OMPP) Long-Term Care Audits Indiana Member Customer Assistance Box 7263 Box 7262. 1-800-457-4584 Indianapolis, IN 46207-7263 Indianapolis, IN 46207-7262 Program Integrity Myers and Stauffer Health 402 W. Washington St., Room W374. Coverage 1-800-457-4584 1-800-457-4584 Indianapolis, IN 46204-2739 1-800-877-6927. Member Applications Fax: (317) 571-8481. Programs 1-800-403-0864 Fax: 1-866-667-6579 (IHCP) IHCP Provider and Member Concerns Line TPL Casualty 1-800-457-4515. Fee-for-Service (FFS), Including Traditional Medicaid, Waiver, 590 Program, and Other FFS Coverage FFS FFS Prior Authorization (By FFS Electronic Transactions FFS Paper Claim Submission FFS Adjustment Forms Form Requests Information Mail, Phone, and Fax) Professional (Excluding Crossover) (No Refund Checks) Gainwell Forms Electronic Data Interchange Gainwell Adjustments Box 7263.

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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