Electronic Claims Processing Outage

Like many payers, IU Health Plans is experiencing system outages at our gateway, Change Healthcare, that impacts both our Commercial and Medicare Advantage claims processing. As such, IU Health Plans cannot accept electronic claims submissions or send out electronic payments and remittances.

We do not have an estimated time in which we expect to have these systems operational. Providers are encouraged to allow 72 hours for services to be restored to ensure timely claims processing. Claims are always accepted via paper at the addresses found here.

If you have any questions or concerns, please contact Provider Services, Monday — Friday from 7 am — 7 pm at the following numbers:

Commercial
Phone: 866.895.5980

Medicare Advantage
Phone: 866.218.1524

For status updates on the outage with Change Healthcare, information can be found at status.changehealthcare.com.

Electronic Claims Processing Outage

Like many payers, IU Health Plans is experiencing system outages at our gateway, Change Healthcare, that impacts both our Commercial and Medicare Advantage claims processing. As such, IU Health Plans cannot accept electronic claims submissions or send out electronic payments and remittances.

We do not have an estimated time in which we expect to have these systems operational. Providers are encouraged to allow 72 hours for services to be restored to ensure timely claims processing. Claims are always accepted via paper at the addresses found here.

If you have any questions or concerns, please contact Provider Services, Monday — Friday from 7 am — 7 pm at the following numbers:

Commercial
Phone: 866.895.5980

Medicare Advantage
Phone: 866.218.1524

For status updates on the outage with Change Healthcare, information can be found at status.changehealthcare.com.

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IU Health Plans Quality Assurance Program

IU Health Plans Quality Assurance Program

Indiana University Health Plans, through the Medicare Advantage insurance plan, seeks to provide the best quality care and service for its members. Our Quality Improvement Program is designed to continuously monitor the care our members are receiving and help to ensure high quality, cost-effective medical care. The Quality Improvement Program tracks and monitors a number of health outcomes and utilization measures that allow us to work with doctors, hospitals and other care providers to improve the health of our members, whether they are seen in the outpatient, inpatient, emergency settings or in a care facility. The program uses information from claims, utilization measures, other quality outcomes reviews and surveys to develop and enhance programs such as case management, disease management, member and provider educational activities and service improvement opportunities.

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Flex Network plan

Select Plus 001 plan

Select Plus 002 plan

Select Plus 003 plan

Choice plan

Select - Medical Only plan

Kidney Care plan

Additional information about Low Income Subsidy and Best Available Evidence is available on the CMS website.

If you need to submit a complaint about Indiana University Health Plans Medicare Advantage, you can use these steps or submit directly to Medicare here.

IU Health Plans is a Health Plan with a Medicare contract with the Federal government which is renewed annually and availability of coverage beyond the end of the current contract year is not guaranteed.

Contact IU Health Plans today and let’s discuss the Medicare Advantage health plan options available to you. After all, it’s your health and you do have choices.

Indiana University Health Plans is a Medicare Advantage organization with a Medicare contract. Enrollment in an HMO or HMO POS plan from Indiana University Health Plans depends on the plan’s contract renewal with Medicare.

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Last updated 1.3.2024