Claims & Appeals

To submit claims and appeals or check status of a claims appeal:

or

Indiana Health Coverage
Programs fee schedule

Hoosier Healthwise and Hoosier Care Connect

Visit the Indiana Health Coverage Programs fee schedule for reimbursement information for standard CPT, HCPCS and current dental terminology codes. Reimbursement for rendered services is based on negotiated rates.

Healthy Indiana Plan (HIP)

HIP pays at Medicare rates or 130% of Indiana Medicaid rates if no Medicare rate exists. Visit the CMS fee schedule for Medicare reimbursement information. If no Medicare rate exists, visit the Indiana Health Coverage Programs fee schedule for Medicaid reimbursement information. Exception: Facility charges for individuals that qualify as low-income parents and caretakers, and 19- and 20-year-old low-income dependents enrolled in HIP will be reimbursed at Medicaid rates.