Indiana
Medical Billing Services in Indiana
Medical billing and credentialing for Indiana practices, at 4-8% of collections with no long-term contract. Hoosier Healthwise, Healthy Indiana Plan, Medicare and commercial billing statewide.
Key takeaways
- 01Indiana Health Coverage Programs requires claims within 180 calendar days of the date of service, with retroactive eligibility extending that to one year from the date eligibility was entered (405 IAC 1-1-3).
- 02Hoosier Healthwise and the Healthy Indiana Plan run through four plans: Anthem, CareSource, Managed Health Services and MDwise.
- 03Indiana requires insurers to pay or deny clean electronic claims within 30 days and paper claims within 45 days (IC 27-8-5.7).
What Medical Groups in Indiana Partner With Us
Indiana Payer Billing
Hoosier Healthwise and HIP claims, plus Medicare and the major private plans in Indiana
Coders Matched to Your Specialty
Coders who already know the documentation your specialty needs
Dedicated Account Manager
A named contact for billing questions, reports and anything urgent
No Long-Term Contract
You pay 4-8% of collections, with no long-term contract to sign
How Practices in Indiana Get From Our Billing
Indiana Medicaid Billing. Billing for Hoosier Healthwise and the Healthy Indiana Plan
HIPAA Compliant. Patient data handled under HIPAA, and one dedicated account manager as your contact
See How Much Revenue Your Indiana Practice Is Leaving on the Table
Get a free, no-obligation practice assessment. We'll analyze your claims, denials, and A/R to show you exactly where you're losing money.
Practices We Serve Across Indiana, Region by Region
Indianapolis Metro & Central Indiana
Indianapolis is Indiana's healthcare hub, anchored by IU Health (Indiana University Health), Community Health Network, Ascension St. Vincent and Franciscan Health.
Anthem's parent company, Elevance Health, is based in Indianapolis, and Anthem plans are a regular part of the payer mix for practices here.
Cardiology / orthopedics / oncology / neurology / gastroenterology
Northeast Indiana: Fort Wayne & Surrounding Region
Fort Wayne's healthcare market is served by Parkview Health and Lutheran Health Network, across a mix of urban and rural communities. Manufacturing employers provide employer-sponsored coverage, while rural farming families often rely on Medicaid and marketplace plans.
The distance from Indianapolis means many specialty referrals stay local.
Family medicine / general surgery / orthopedics / cardiology / behavioral health
Evansville & Southwest Indiana
Evansville is Indiana's third-largest city and the healthcare hub for the tri-state area with Kentucky and Illinois. Deaconess Health System and Ascension St. Vincent Evansville serve a manufacturing and agricultural economy with workers' compensation claims and a payer mix from all three states.
Evansville practices often need enrollment with Indiana, Kentucky and Illinois Medicaid and commercial payers.
Cardiology / orthopedics / primary care / occupational medicine / behavioral health
Your Questions About Medical Billing in Indiana
Hoosier Healthwise covers families and children, and the Healthy Indiana Plan (HIP) covers adults, both through Anthem, CareSource, Managed Health Services (Centene) and MDwise. Each plan has its own authorization requirements and fee schedule.
Indiana's HEA 1004 (2020) added notice rules for out-of-network care. Federal law has also applied since January 2022: the No Surprises Act stops balance billing for most emergency care and for out-of-network care at in-network facilities.
Indiana law (IC 27-8-5.7) requires insurers to pay or deny clean electronic claims within 30 days and paper claims within 45 days of receipt. Interest on late claims is set at a rate the Indiana Department of Insurance publishes.
Indiana Medicaid fee-for-service allows 180 days from the date of service. Medicare gives one year from the date of service to file, under 42 CFR 424.44. The Medicaid plans and commercial payers set their own limits in their provider contracts.
Farmworkers and their families often move between Medicaid and other coverage with seasonal work, and self-employed farmers often carry high-deductible marketplace plans. That makes eligibility checks and patient collections a bigger part of billing for rural practices.
End-to-End Billing for Indiana Providers
From eligibility checks to final payment, we handle your billing so you can focus on patients.
Claims Management. Claim submission and follow-up until each claim is paid or closed
Denial Management. Denied claims worked and appealed
Patient Billing. Clear patient statements and payment plans
Credentialing. Payer enrollment at $150 per application, per provider, usually 60 to 90 days with each payer, in our experience
Want a Second Look at Your Billing?
Get a free, no-obligation review of your practice's billing.
- Where claims are being denied, and why
- Which unpaid claims can still be recovered
- What billing would cost at 4-8% of collections
Specialties We Support Across Indiana
We specialize in mental health, behavioral health and therapy practices, and bill for other specialties too.
- Physical Therapy
- Speech Therapy
- ABA Therapy
- Occupational Therapy
- Behavioral Health
- Psychology
- Substance Use Treatment
- Mental Health
- Psychiatry
- Primary Care
- Orthopedics
- Cardiology
- Pediatrics
Start With Medtransic in Indiana's Independent Providers
Let us handle your medical billing so you can focus on patient care