IHCP will mass reprocess dental claims that may have denied incorrectly

The Indiana Health Coverage Programs (IHCP) has identified a claim-processing issue that affects fee-for-service dental claims processed from November 22, 2017, through November 28, 2017. Claims for Current Dental Terminology (CDT®1) codes processed during this time frame may have inappropriately denied with explanation of benefits (EOB) 4013 - This procedure is not covered for this date of service.

The claim-processing system has been corrected. Claims processed during the indicated time frame that previously denied for EOB 4013 will be mass reprocessed. Watch IHCP publications and indianamedicaid.com for information about when mass reprocessing will occur.

As a result of the system issue, the dental fees on the Professional Fee Schedule at indianamedicaid.com were removed in error. This issue will be corrected, and the dental fees will be available on the fee schedule effective December 2, 2017.

1 CDT copyright 2016 American Dental Association. All rights reserved.