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Please continue to use the contact information provided on the action you are disputing, or contact OALP by emailing fssa.appeals@oalp.in.gov or calling 317-234-3488 or 1-866-259-3573....How to Appeal an FSSA Decision SNAP/TANF Authorized Representative Form. Medicaid Authorized Representative Form. Appeal Form.
Follow the directions in the plan's initial denial notice and plan materials. You, your representative, or your doctor must ask for an appeal from your plan within 60 days from the date of the coverage determination.
Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. If a claim isn't filed within this time limit, Medicare can't pay its share.
Home and Community-Based Services (HCBS) organizations can bill Medicaid in different ways, for example by: Manually submitting all claims on paper. Using a clearinghouse as an intermediary to take paper claims and verify accurate information before submitting to the payer.
Physicians must file Medicaid fee-for-service claims within 180 calendar days of the date of service. The current timely filing limit is 365 calendar days. For inpatient claims, the 180-day limit will be based on the IHCP member's date of discharge.

People also ask

If you are on Medicaid and want to appeal a decision made about your health care, you must appeal in writing: If you are on the Healthy Indiana Plan, Hoosier Healthwise, or Hoosier Care Connect, you should contact your health plan and work through their appeal process.
An \u201celectronic claim" is a paperless patient claim form generated by computer software that is transmitted electronically over the telephone or computer connected to a health insurer or other third-party payer (payer) for processing and payment, while A \u201cmanual claim\u201d is a paper claim form that refers to either the ...
Hearings must be requested within a reasonable period of time established by the state agency, not to exceed 90 days from the date that the notice of action is mailed. CMS considers time periods of less than 20 days from the date of mailing of the notice to be unreasonable.
submitted within 180 calendar days of the date of service or discharge. (EOP) must be submitted to us within 90 calendar days from the primary payer's EOP date. If a copy of the claim and EOP is not submitted within the required time frame, the claim will be denied for timely filing.
Local Appeal This is a process where you, your guardian, parent or legal representative may request a review of the decision to deny, suspend, reduce or terminate a Medicaid covered service. With your written consent, your provider may also file an appeal on your behalf.

indiana medicaid timely filing limit 2022