Back to dashboard
MedicaidAdministrativeMedium impact

BT2024148: IHCP will reprocess or mass adjust claims for procedure code E2103

Indiana Medicaid (IHCP)·IN · Endocrinology, Family Medicine, Internal Medicine·Claims & Billing
Effective date
Oct 30, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

IHCP identified a claim processing error that incorrectly denied E2103 (continuous glucose monitor) claims with EOB code 1016 for dates of service on or after September 7, 2023. The system has been corrected and claims will be automatically mass adjusted or reprocessed starting October 30, 2024.

Action Required

Action needed
By December 23, 2024: Review remittance advices starting October 30, 2024 for E2103 claims with ICNs beginning with 52 or 80 to confirm automatic reprocessing. If preferred, billing team may resubmit FFS E2103 claims denied with EOB 1016 within 180 days (by March 23, 2025) and include copy of bulletin BT2024148 to satisfy timely filing requirements.

Affected Billing Codes

E2103