Medical billing and credentialing services in Indiana
Indiana runs Medicaid through the Indiana Health Coverage Programs, with Healthy Indiana Plan and Hoosier Healthwise members spread across several managed care entities. Core MB helps practices from Indianapolis to Evansville with credentialing and billing, remotely.
Provider credentialing and payer enrollment in Indiana
Indiana physicians hold licenses issued through the Medical Licensing Board of Indiana. Medicaid enrollment goes through the Indiana Health Coverage Programs (IHCP) Provider Healthcare Portal under the Family and Social Services Administration, and providers must be IHCP-enrolled before joining a managed care entity. Anthem Blue Cross and Blue Shield dominates the commercial side, and MHS, CareSource and UnitedHealthcare Community Plan each have separate credentialing for Medicaid members.
Medical billing and revenue cycle management in Indiana
Indiana Medicaid billing splits between IHCP fee-for-service and the managed care entities serving Healthy Indiana Plan, Hoosier Healthwise and Hoosier Care Connect members. Anthem Blue Cross and Blue Shield and Medicare fill out much of the rest. Typical denials involve prior authorization differences between entities, claims sent to the wrong plan after a member changes coverage, and rendering provider records that were not updated in IHCP.
Websites, marketing and virtual assistants for Indiana practices
Indianapolis and Carmel patients search heavily by specialty and insurance, while Fort Wayne, Evansville and South Bend rely on local reviews and hospital-system referral paths. Accurate listings, plain service pages and mobile-friendly design help. We build sites, manage local search and campaigns, and provide medical virtual assistants for scheduling, calls and insurance verification.
Website design & development → Digital marketing → Medical virtual assistants →
- Medical billing and revenue cycle management
- Provider credentialing and payer enrollment
- Website design and development
- Healthcare digital marketing
- HIPAA-compliant medical virtual assistants
Indiana payers and programs to know
- Indiana Medicaid, administered by Indiana Family and Social Services Administration. Provider enrollment runs through IHCP Provider Healthcare Portal.
- Blue plans: Anthem Blue Cross and Blue Shield
- Other payers: Managed Health Services, CareSource and UnitedHealthcare Community Plan
- Medicare: Part A and B claims in Indiana are processed by WPS Government Health Administrators.
- Licensing: Medical Licensing Board of Indiana
Areas we support in Indiana
- Indianapolis
- Fort Wayne
- Evansville
- South Bend
- Carmel
Indiana billing and credentialing questions
How does a practice enroll in Indiana Medicaid?
Providers enroll through the IHCP Provider Healthcare Portal, which handles applications, updates and revalidation for Indiana Medicaid. Have your NPI, license, tax and ownership information ready. Once the IHCP enrollment is approved, you can contract with the Medicaid managed care entities, which require it first.
Which payers should a new Indiana practice credential with first?
Medicare and IHCP are typically first, then Anthem Blue Cross and Blue Shield for commercial reach. MHS, CareSource and UnitedHealthcare Community Plan follow once IHCP is active, with Cigna, Aetna or regional carriers added depending on your market around Indianapolis, Fort Wayne or Evansville.
Do Indiana managed care entities credential on their own?
Yes. IHCP enrollment is required, but each managed care entity credentials providers through its own process and issues its own contract and effective date. Keep IHCP and plan records consistent on locations and taxonomy, and confirm each plan's network status before scheduling its members.
Ready to get paid faster in Indiana?
Tell us about your practice and the payers you bill, and we will send a written quote.