Medical Billing Services in Indiana
As a remote-first medical billing company serving Indiana practices statewide, MedPrecision pairs IN-specific payer expertise with AAPC-certified billing experts. Indiana Code 27-8-5.7-6 requires an insurer to pay or deny each clean claim within 30 days when the claim is filed electronically and within 45 days when it is filed on paper — a deadline that shapes every clean-claim workflow we run in the state. That chapter defines "insurer" as an accident and sickness insurer authorised in Indiana, a preferred provider plan, or an insurance administrator that collects premiums and settles claims, so it does not reach a self-funded ERISA plan. Anthem Blue Cross Blue Shield, UnitedHealthcare, Aetna and Cigna are the commercial plans our Indiana claim queues are built around, so fee-schedule mastery and disciplined appeals matter. The Indiana Health Coverage Programs filing limit is 180 calendar days from the date the service was rendered, while commercial payers in Indiana typically enforce 90 to 180 days — two clocks that govern every claim queue we manage. Service is delivered remotely; we do not keep an Indiana office. MedPrecision's Indiana workflow layers payer-specific scrubbers, MCO portal logins, and deadline-aware A/R follow-up so clean claims clear the first cycle and stalled ones never age out of appeal. Statute and filing limit verified 17 September 2026.
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The Indiana Billing Landscape
Indiana's Medicaid landscape is defined by the Healthy Indiana Plan, a consumer-directed program built around Personal Wellness and Responsibility (POWER) accounts, alongside Hoosier Healthwise. HIP is administered through managed care entities including Anthem, CareSource, Managed Health Services and MDwise. The member cost-sharing mechanics create billing workflows that differ from ordinary Medicaid managed care, and because the program's cost-sharing and disenrolment terms have been amended more than once, verify the rule in force for the date of service rather than relying on a general description. Anthem Blue Cross Blue Shield, UnitedHealthcare, Aetna and Cigna carry much of the commercial volume; we do not publish market-share percentages we cannot source. Two deadlines govern the work. Indiana Code 27-8-5.7-6 gives an insurer 30 days to pay or deny a clean electronic claim and 45 days for a paper claim, with interest running from day 31 or day 46 at the annually re-set rate cross-referenced in IC 12-15-21-3(7)(A). And the Indiana Health Coverage Programs filing limit is 180 calendar days from the date of service — not the 12 months some neighbouring states allow. The prompt-pay chapter's reach is narrower than it first looks: it defines "insurer" as an authorised accident and sickness insurer, a preferred provider plan or a claims-settling administrator, which leaves self-funded ERISA plans outside it. That matters in Indiana, where a large manufacturing workforce puts many commercially insured patients into self-funded employer plans, so a billing team needs the ERISA appeal path as well as the state one. IU Health, Ascension St. Vincent and Parkview Health are major systems shaping commercial contracting; Indianapolis is a competitive multi-specialty market while rural Indiana leans on rural health clinics and critical access hospitals. Statutes and the filing limit verified against the Indiana General Assembly and Indiana Medicaid provider materials on 17 September 2026.
Who We Serve in Indiana
Our Indiana client mix skews toward solo practices, family practice groups, group practices , plus urgent care centers and telehealth providers. We work with providers in Indianapolis, Fort Wayne, Evansville and across the rest of the state, all remotely.
Major Metros Served
What billing costs in Indiana
We publish one national rate card and bill Indiana practices on exactly the same terms as everywhere else — there is no regional markup and no quote-only tier below enterprise. You pay a percentage of what we actually collect, so if we do not collect, you do not pay.
| Practice size | Rate | Basis | Note |
|---|---|---|---|
| Solo practice | 7.0% | of monthly collections | Monthly minimum applies |
| Group practice | 6.0% | of monthly collections | Volume discounts available |
| Enterprise | Custom | tiered pricing | Scoped per engagement |
- No setup or implementation fee
- No per-claim charge
- No software fee and no markup on third-party costs — clearinghouse fees, postage and payer application fees are passed through at cost
- 12-month initial term, then month-to-month — 60 days' notice either way, no early-termination penalty
Payer Landscape in Indiana
Healthy Indiana Plan (HIP) and Hoosier Healthwise routes members through Anthem, CareSource, MDwise and 1 more plans, each with its own authorization rules and fee schedule. On the commercial side, Anthem Blue Cross Blue Shield, UnitedHealthcare, Aetna drive the bulk of Indiana claim volume, so we maintain payer-specific denial playbooks and appeal templates for each. Claim clocks in Indiana run 180 days for Medicaid and 90-180 days for commercial payers — deadlines our A/R queues are built around. Indiana's prompt-pay statute: Indiana Code 27-8-5.7-6 requires an insurer to pay or deny each clean claim within 30 days if the claim is filed electronically and within 45 days if it is filed on paper. When an insurer misses that deadline and later pays, it owes interest that accrues from day 31 (electronic) or day 46 (paper) until the claim is paid, at the rate cross-referenced in IC 12-15-21-3(7)(A) — a figure tied to the state's average general-fund investment yield for the previous fiscal year and therefore re-set annually, not a fixed percentage. The chapter's definition of "insurer" covers authorised accident and sickness insurers, preferred provider plans and claims-settling administrators, so self-funded ERISA plans fall outside it. Text verified against the Indiana General Assembly's published code, 17 September 2026.
Medicaid Program
Healthy Indiana Plan (HIP) and Hoosier Healthwise
Managed Care Organizations
Key Commercial Payers
Timely Filing Deadlines
Prompt Pay Law
Indiana Code 27-8-5.7-6 requires an insurer to pay or deny each clean claim within 30 days if the claim is filed electronically and within 45 days if it is filed on paper. When an insurer misses that deadline and later pays, it owes interest that accrues from day 31 (electronic) or day 46 (paper) until the claim is paid, at the rate cross-referenced in IC 12-15-21-3(7)(A) — a figure tied to the state's average general-fund investment yield for the previous fiscal year and therefore re-set annually, not a fixed percentage. The chapter's definition of "insurer" covers authorised accident and sickness insurers, preferred provider plans and claims-settling administrators, so self-funded ERISA plans fall outside it. Text verified against the Indiana General Assembly's published code, 17 September 2026.
Indiana Billing Regulations & Compliance
The Indiana Department of Insurance sets the rules our Indiana billing workflows have to satisfy. Surprise billing in Indiana: The federal No Surprises Act applies. We have not verified a current Indiana statute that adds broader state-level balance-billing protection on top of it, so treat the state-law position as open and confirm it for the specific plan and setting. Telehealth parity: Indiana Code 27-8-34-6 requires an accident and sickness policy to cover telehealth services under the same clinical criteria it applies to the same services delivered in person, and bars a dollar limit, deductible or coinsurance requirement less favourable than the in-person equivalent; a separate consent for telehealth may not be required. The chapter was amended by P.L.85-2021. It is a coverage-parity rule, not a rate-parity rule, and IC 27-8-34-7 preserves utilisation review and does not require coverage of a service the policy does not otherwise cover. Indiana Medicaid publishes its own telehealth coverage rules. Verified 17 September 2026.
State Insurance Regulator
Indiana Department of Insurance
Surprise Billing Protection
The federal No Surprises Act applies. We have not verified a current Indiana statute that adds broader state-level balance-billing protection on top of it, so treat the state-law position as open and confirm it for the specific plan and setting.
Telehealth Billing Parity
Indiana Code 27-8-34-6 requires an accident and sickness policy to cover telehealth services under the same clinical criteria it applies to the same services delivered in person, and bars a dollar limit, deductible or coinsurance requirement less favourable than the in-person equivalent; a separate consent for telehealth may not be required. The chapter was amended by P.L.85-2021. It is a coverage-parity rule, not a rate-parity rule, and IC 27-8-34-7 preserves utilisation review and does not require coverage of a service the policy does not otherwise cover. Indiana Medicaid publishes its own telehealth coverage rules. Verified 17 September 2026.
Common Questions
Common questions about medical billing services in Indiana.
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Get a Free Billing AuditDoes MedPrecision handle Healthy Indiana Plan billing?
Yes. We have deep experience billing all Healthy Indiana Plan MCOs — including Anthem, CareSource, MDwise, and MHS. Our team manages eligibility verification, prior authorizations, and claims submission specific to each MCO's requirements.
How does MedPrecision manage Indiana MCO authorization requirements?
Each Indiana Medicaid MCO has its own prior authorization rules and formularies. Our team tracks these requirements for every plan, submits authorizations proactively, and follows up to prevent denials caused by missing or expired authorizations.
What are Indiana's timely filing rules, and how do you verify compliance?
Two different clocks apply. Indiana Health Coverage Programs claims must be filed within 180 calendar days of the date the service was rendered, per the state's Claim Submission and Processing provider reference module; commercial payers typically enforce their own limits in the 90 to 180 day range. We submit claims within days of service and monitor aging reports so nothing sits past either window. Filing limit verified 17 September 2026.
Do you support family practice billing in Indiana?
Absolutely. Family practice is one of our strongest areas. We handle E/M coding, preventive visit billing, chronic care management, and wellness visit documentation for Indiana family practices billing both Healthy Indiana Plan MCOs and commercial insurers.
What happens if a payer misses the Indiana prompt-pay deadline?
Indiana Code 27-8-5.7-6 requires an insurer to pay or deny each clean claim within 30 days when it is filed electronically and 45 days when it is filed on paper. If the insurer misses that deadline and later pays, interest accrues from day 31 or day 46 until payment, at the rate cross-referenced in IC 12-15-21-3(7)(A) — a figure tied to the state's average general-fund investment yield for the prior fiscal year, so it is re-set annually rather than fixed. The chapter also has limits: its definition of "insurer" does not reach a self-funded ERISA plan, so the remedy depends on what kind of plan you are billing, and professional advice should settle that for your payer mix. We track every clean claim against those deadlines, flag stalled payments in the A/R report, and raise the matter with the Indiana Department of Insurance where that is the right route. On filing, the Indiana Health Coverage Programs limit is 180 calendar days from the date of service and commercial limits commonly run 90 to 180 days. Verified 17 September 2026.
How do I choose a medical billing company in Indiana?
Prioritize a billing company that already works with Healthy Indiana Plan and the major commercial payers in Indiana — payer-specific edits and timely-filing windows are where most IN revenue leaks start. Ask about AAPC-certified coders, transparent pricing, and denial-rate and days-in-A/R reporting before you sign. Because billing is delivered remotely, a company's Indiana payer experience matters more than a local office address.
Services for Indiana practices
Specialties we bill for
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Billing help for your Indiana practice
Tell us the specialty and we will come back on what your Indiana payer mix actually changes — filing windows, the state's prompt-pay clock, and which plans your claims are going to. Written findings in 3–5 business days.
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Services in Indiana
Specialties in Indiana
Other Locations We Serve
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