Get the free Indiana Health Coverage Programs Billing Provider Application Enrollment

This document is an application for enrollment as a billing provider in the Indiana Health Coverage Programs (IHCP), detailing the application process, necessary schedules, documentation requirements,

How to fill out indiana health coverage programs

How to fill out Indiana Health Coverage Programs Billing Provider Application Enrollment

1. Obtain the Indiana Health Coverage Programs Billing Provider Application Enrollment form from the official website or by contacting the Indiana Medicaid office.
2. Carefully read the instructions included with the application to understand the requirements.
3. Fill out the application form completely, providing all required information such as the billing provider's name, address, and tax identification number.
4. Provide information on the services that will be billed under the application, including any specialty certifications.
5. Submit supporting documents as required, such as proof of licensure or certification, a W-9 form, and any other necessary credentials.
6. Review the completed application for accuracy before submission.
7. Send the application and all supporting documents to the appropriate Indiana Medicaid office address provided in the instructions.

Who needs Indiana Health Coverage Programs Billing Provider Application Enrollment?

1. Healthcare providers who wish to bill Indiana Medicaid for services rendered to eligible clients.
2. Organizations such as clinics, hospitals, and individual practitioners seeking enrollment in the Indiana Health Coverage Programs.
3. Providers who need to update or change their billing information with Indiana Medicaid.

People Also Ask about

How do you apply for the Healthy Indiana plan?

Applications are available online, by mail, or by visiting your local Division of Family Resources (DFR) office. Call 1-877-GET-HIP-9 for more information about the application process or to find your local DFR office. Send in the application with all required information.

What is the income limit for healthcare in Indiana?

Income / family size Family sizeIncome limit (per month) 1 $1,800.25 2 $2,433.15 3 $3,065.05 4 $3,698.001 more row

How much does health insurance cost in Indiana?

How much does health insurance cost in Indiana? Health insurance in Indiana costs an average of $432 per month, but if you get discounts based on your income, you could pay an average of $82 per month. Higher plan tiers, like Gold, cost more each month but let you get cheaper medical care.

How do I contact Medicaid provider enrollment in Indiana?

Provider Enrollment Inquiries If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information.

How to apply for health coverage in Indiana?

Applicants can apply online on the Benefits Portal. Applicants can call or fax 888-436-9199. Applicants can visit a local Division of Family Resources office. What information does an applicant need to know/take with them to apply for Indiana health coverage programs?

How do I apply for health coverage in Indiana?

To apply by phone, call DFR at 1-800-403-0864. Note: A certified navigator can assist you with the process to apply for your health coverage. Visit the Find a Navigator page to locate a navigator near you.

What is the full form of IHCP in medical billing?

The programs and services offered are incorporated under the umbrella of the Indiana Health Coverage Programs (IHCP). Healthcare benefits are administered through two delivery systems – the fee-for-service (FFS) delivery system or the managed care delivery system.

Can you bill an Indiana Medicaid patient?

A Medicaid provider may bill a Medicaid recipient only when the following conditions have been met: The service rendered must be a service determined not covered by the Indiana Medical Assistance Programs or the recipient has exceeded the program limitations for a particular service.

For pdfFiller’s FAQs

What is Indiana Health Coverage Programs Billing Provider Application Enrollment?

Indiana Health Coverage Programs Billing Provider Application Enrollment is a process through which healthcare providers can apply to be enrolled as billing providers for services covered under Indiana's Medicaid programs.

Who is required to file Indiana Health Coverage Programs Billing Provider Application Enrollment?

Healthcare providers who wish to bill for services rendered to recipients of Indiana's Health Coverage Programs, including Medicaid, are required to file the Billing Provider Application Enrollment.

How to fill out Indiana Health Coverage Programs Billing Provider Application Enrollment?

To fill out the enrollment application, providers must complete the required sections accurately, including information about their practice, ownership, and services offered, and submit any necessary supporting documentation as per the guidelines provided by Indiana's health coverage authorities.

What is the purpose of Indiana Health Coverage Programs Billing Provider Application Enrollment?

The purpose of the enrollment is to ensure that providers qualify to receive reimbursement for services provided to Medicaid clients and to maintain compliance with state and federal guidelines.

What information must be reported on Indiana Health Coverage Programs Billing Provider Application Enrollment?

Providers must report information including, but not limited to, their legal business name, tax identification number, National Provider Identifier (NPI), practice location, ownership structure, and any relevant licensing or certification details.