IHCP identifies claim processing error for Hoosier Healthwise dental claims

IHCP identifies processing error for Hoosier Healthwise dental claims

The Indiana Health Coverage Programs (IHCP) announced in BT201678, that effective January 1, 2017, the management of dental benefits for members enrolled in Hoosier Healthwise would transition to the managed care entities (MCEs). Each MCE, along with any contracted dental benefit manager (DBM), would manage Hoosier Heathwise dental benefits and process dental claims. Accordingly, Hoosier Healthwise dental claims for dates of service (DOS) on or after January 1, 2017, would no longer be processed by Hewlett Packard Enterprise (HPE).

The IHCP has identified that Hoosier Healthwise claims for certain dental codes, for DOS on or after January 1, 2017, that were submitted in error to HPE continued to process and pay. On Tuesday, January 10, 2017, this claims processing error was corrected. Any claims processed by HPE after that date should correctly deny.

Dental providers whose claims for Hoosier Healthwise members that were processed in error by HPE - regardless of a denied or paid status - should void the claims and resubmit the claims to the appropriate MCE/DBM. Providers are advised to take this action as soon as possible to avoid issues of timely filing with the MCE/DBM. See BT201678 for contact information for MCEs and DBMs.

All Hoosier Healthwise dental claims for DOS on or after January 1, 2017, that are not voided will be systematically mass adjusted and denied by HPE at a later date. The IHCP will give providers at least 30 days' notice prior to processing the mass adjustment. All payments made for voided and adjusted claims will be recouped as accounts receivable. Providers should contact their HPE provider field consultant to discuss the recoupment process.

IHCP identifies processing error for Hoosier Healthwise dental claims

The Indiana Health Coverage Programs (IHCP) announced in BT201678, that effective January 1, 2017, the management of dental benefits for members enrolled in Hoosier Healthwise would transition to the managed care entities (MCEs). Each MCE, along with any contracted dental benefit manager (DBM), would manage Hoosier Heathwise dental benefits and process dental claims. Accordingly, Hoosier Healthwise dental claims for dates of service (DOS) on or after January 1, 2017, would no longer be processed by Hewlett Packard Enterprise (HPE).

The IHCP has identified that Hoosier Healthwise claims for certain dental codes, for DOS on or after January 1, 2017, that were submitted in error to HPE continued to process and pay. On Tuesday, January 10, 2017, this claims processing error was corrected. Any claims processed by HPE after that date should correctly deny.

Dental providers whose claims for Hoosier Healthwise members that were processed in error by HPE - regardless of a denied or paid status - should void the claims and resubmit the claims to the appropriate MCE/DBM. Providers are advised to take this action as soon as possible to avoid issues of timely filing with the MCE/DBM. Refer to BT201678 for contact information for MCEs and DBMs.

All Hoosier Healthwise dental claims for DOS on or after January 1, 2017, that are not voided will be systematically mass adjusted and denied by HPE at a later date. The IHCP will give providers at least 30 days' notice prior to processing the mass adjustment. All payments made for voided and adjusted claims will be recouped as accounts receivable. Providers should contact their HPE provider field consultant to discuss the recoupment process.

IHCP identifies processing error for Hoosier Healthwise dental claims

The Indiana Health Coverage Programs (IHCP) announced in BT201678, that effective January 1, 2017, the management of dental benefits for members enrolled in Hoosier Healthwise would transition to the managed care entities (MCEs). Each MCE, along with any contracted dental benefit manager (DBM), would manage Hoosier Heathwise dental benefits and process dental claims. Accordingly, Hoosier Healthwise dental claims for dates of service (DOS) on or after January 1, 2017, would no longer be processed by Hewlett Packard Enterprise (HPE).

The IHCP has identified that Hoosier Healthwise claims for certain dental codes, for DOS on or after January 1, 2017, that were submitted in error to HPE continued to process and pay. On Tuesday, January 10, 2017, this claims processing error was corrected. Any claims processed by HPE after that date should correctly deny.

Dental providers whose claims for Hoosier Healthwise members that were processed in error by HPE - regardless of a denied or paid status - should void the claims and resubmit the claims to the appropriate MCE/DBM. Providers are advised to take this action as soon as possible to avoid issues of timely filing with the MCE/DBM. Refer to BT201678 for contact information for MCEs and DBMs.

A ll Hoosier Healthwise dental claims for DOS on or after January 1, 2017, that are not voided will be systematically mass adjusted and denied by HPE at a later date. The IHCP will give providers at least 30 days' notice prior to processing the mass adjustment. All payments made for voided and adjusted claims will be recouped as accounts receivable. Providers should contact their HPE provider field consultant to discuss the recoupment process.