Dear valued provider,
We are writing to inform you of an important update regarding our claims processing procedures when acting as the secondary payer for Indiana Medicaid.
Beginning Sept. 15, 2025, Delta Dental of Indiana will begin adjudicating MDwise Indiana Medicaid claims at the detail (line) level when we are the secondary payer. This change is necessary in order to be in alignment with Indiana Health Coverage Programs (IHCP) policy.
What this means for you:
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Each line item on a claim will be evaluated individually considering payments from primary payer(s).
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MDwise Indiana Medicaid secondary claims processed after Jan. 1, 2025, that were not processed at the detail level will be adjusted accordingly beginning Sept. 15, 2025. While we will be working to complete these adjustments as expeditiously as possible, due to the large volume of claims, we are anticipating it could take up to six months to complete all adjustments.
Please note: Delta Dental of Indiana will reach out to you directly if any additional information is needed. There is no need for you to resubmit claims or request adjustments.
These adjustments will follow our standard processes. If additional payment is warranted, it will be issued with the adjusted claim. You will receive a revised Explanation of Benefits (EOB) and any additional change in payment as appropriate.
Important steps to ensure your claims are processed correctly:
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Be sure to include the primary EOB statement with claim submissions, whenever possible. This applies when submitting via paper, Dental Office Toolkit™, or through a clearinghouse.
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Confirm that your billing system and staff are aware of this change, especially those who review EOBs, Electronic Remittance Advices (ERAs), or submit claims for payment.
We appreciate your commitment to providing top-notch oral health care to our members! If you have any questions, please contact your dedicated provider representative.
Teresa James
317-954-7697
tjames1@deltadentalin.com
Jennifer Baxter
317-753-0652
jbaxter@deltadentalin.com
Thank you again,
Delta Dental of Indiana
DR-07-2025-17615/HHW-HIPP1009 (7/25)