The IHCP to Implement Change in Medicare Replacement Claim Processing

The IHCP to Implement Change in Medicare Replacement Claim Processing

For claims received on or after June 27, 2013, the Indiana Health Coverage Programs (IHCP) will require a claim filing indicator of "16" when providers file Medicare replacement plan claims through an 837 electronic data interchange (EDI) transaction and Web interChange. Previously, providers were instructed to use a claim filing indicator of "MA" or "MB" when filing Medicare replacement claims. The IHCP will begin to validate Medicare replacement plan payer IDs based on the contract number published by the Centers for Medicare & Medicaid Services (CMS) (see the MA Plan Directory on the CMS website at cms.gov.) Please watch upcoming IHCP publications for additional information.