Providers May Experience Delays in Claims Processing

Providers May Experience Delays in Claims Processing

The Indiana Health Coverage Programs (IHCP) is experiencing some delay in processing fee-for-service claims submitted on and after April 1, 2014. Normal claims processing is underway; however, due to a backlog of claims, providers may experience delays in the typical claims processing and payment time frames, as well as delays in the ability to view submitted claims using Web interChange Claim Inquiry. The delay will not exceed the statutory 21-day clean claims processing requirement identified in Chapter 10 of the IHCP Provider Manual.

If you have submitted claims via Web interChange and received an internal control number (ICN) or if you have submitted batch claims and received a Submission Summary Report, the ICN/Submission Summary Report is verification that your claims have been accepted and will be processed. Do not resubmit these claims. Doing so will only result in the claims being denied as duplicates and may cause added delay.