Medical Billing Services in Indiana

Strengthen your Indiana practice's financial health with Medtransic's medical billing services. With major health systems like IU Health and Ascension St. Vincent shaping the market, Indiana practices need billing expertise that navigates Healthy Indiana Plan Medicaid, Anthem BCBS, and the state's value-based care transition.

Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout Indiana. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that Indiana practices face. Whether you operate a solo practice or a multi-location clinic, our customized billing solutions help maximize reimbursement, reduce claim denials, and accelerate collections so you can focus on delivering quality patient care.

Why Partner with Medtransic in Indiana

Healthcare providers across Indiana choose Medtransic for our proven track record of delivering measurable results in medical billing and revenue cycle management.

Why Indiana Practices Choose Medtransic

Healthcare providers across Indiana partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.

Healthy Indiana Plan

Expert billing for Indiana's innovative Healthy Indiana Plan (HIP) 2.0 Medicaid program and its managed care entities.

Anthem BCBS Optimization

Maximize reimbursements from Anthem Blue Cross Blue Shield, Indiana's largest commercial payer.

Value-Based Transition

Billing support for Indiana practices transitioning to value-based care and alternative payment models.

Denial Recovery

Aggressive denial management that recovers an average of 15-25% of previously lost revenue for Indiana practices.

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.

Get Free Assessment | Call 888-777-0860

Indiana Medical Billing Regulations

Indiana enacted surprise billing protections (HEA 1004) limiting patient liability for out-of-network emergency services. The law establishes a dispute resolution process between providers and insurers and restricts balance billing practices.

Statute of Limitations: 6 years for medical debt collections in Indiana.

Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.

Surprise Billing Protection: Indiana has enacted surprise billing protections for patients.

Medical Billing Services We Offer in Indiana

Our full suite of revenue cycle management services is available to healthcare practices across Indiana. Each service is tailored to meet the specific needs of your practice and specialty.

Medical Specialties We Support in Indiana

Medtransic provides specialty-specific billing expertise for healthcare practices across Indiana. Our coders are trained in the unique coding and billing requirements of each medical specialty.

Medical Billing by Region in Indiana

Medtransic serves healthcare providers across every part of Indiana with localized billing expertise.

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 Blue Cross Blue Shield's dominant market presence as a headquartered insurer in Indianapolis shapes the payer landscape for every practice in the region.

Anthem BCBS Indiana holds the largest commercial market share, and its specific plan products including Anthem MediBlue and Hoosier Healthwise Medicaid plans require specialized billing expertise.

Key specialties in demand: 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 (Community Health Systems), covering a mix of urban and rural populations across northeast Indiana. A strong manufacturing economy with companies like General Electric provides employer-sponsored coverage, while rural farming communities often rely on Medicaid and marketplace plans.

The region's distance from Indianapolis creates a self-contained healthcare ecosystem where practices manage most specialty referrals locally rather than routing to academic centers.

Key specialties in demand: Family medicine, general surgery, orthopedics, cardiology, behavioral health

Our Track Record in Indiana

Medtransic has a strong track record of delivering results for healthcare practices in Indiana.

Frequently Asked Questions About Medical Billing in Indiana

How does Indiana Medicaid (Hoosier Healthwise and HIP 2.0) billing work?

Indiana's Medicaid program operates through managed care plans under Hoosier Healthwise for families and children, and the Healthy Indiana Plan (HIP 2.0) for adults. MCOs include Anthem, CareSource, Managed Health Services (Centene), and MDwise. Each plan has distinct authorization requirements and fee schedules. Medtransic manages the billing complexities of each Indiana Medicaid MCO to ensure maximum reimbursement for our providers.

What is Indiana's surprise billing law (HB 1004) and how does it affect practices?

Indiana HB 1004 protects patients from surprise out-of-network bills for emergency services and establishes a dispute resolution process for payment disagreements. The law limits patient responsibility to in-network cost-sharing amounts for covered surprise billing scenarios. Medtransic applies HB 1004 rules to all applicable Indiana claims and navigates the dispute resolution process to secure fair reimbursement for our providers.

How does Anthem BCBS Indiana's market dominance affect billing?

Anthem Blue Cross Blue Shield is headquartered in Indianapolis and holds the largest commercial insurance market share in Indiana. Anthem's plan structures, authorization requirements, and specific billing rules vary by product line and must be carefully managed. Medtransic maintains Anthem-specialized billing staff who understand every aspect of Anthem Indiana claims processing, from prior authorization through appeals.

What are Indiana's prompt pay requirements for insurance claims?

Indiana law requires insurers to pay or deny clean electronic claims within 30 days and paper claims within 45 days of receipt. Insurers that fail to meet these deadlines owe interest on the unpaid amount. Medtransic tracks all Indiana claim payment timelines and files regulatory complaints with the Indiana Department of Insurance when payers are non-compliant.

What are the timely filing deadlines for Indiana insurance claims?

Indiana commercial payer timely filing deadlines vary from 90 to 365 days by contract, with Anthem BCBS typically requiring 180 days for participating providers. Medicare requires filing within 12 months, and Indiana Medicaid MCOs generally require submission within 180 days. Medtransic submits clean claims within 24-48 hours to protect our Indiana clients from filing deadline revenue loss.

How much do medical billing services cost in Indiana?

Medical billing outsourcing for Indiana practices typically ranges from 4-8% of monthly collections, depending on practice size, specialty, and claim volume. Medtransic offers transparent, competitive pricing with no hidden fees. Most Indiana practices see a net revenue increase after partnering with us because of reduced denials and faster collections. View our pricing plans for details.

How do I get started with Medtransic in Indiana?

Getting started is simple. Contact us for a free practice assessment where we analyze your current billing processes and identify improvement opportunities. Our onboarding typically takes 2-4 weeks, during which we integrate with your existing EHR system and begin processing claims with zero disruption to your practice.

Get Started with Medical Billing Services in Indiana

Ready to optimize your Indiana practice's revenue cycle? Contact Medtransic today for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form to speak with a billing specialist who understands Indiana healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.