Medical Billing Built for Indiana Healthcare Providers
Indiana expanded Medicaid in 2015 through a distinctive Section 1115 waiver model — the Healthy Indiana Plan (HIP 2.0) — rather than standard ACA expansion, requiring most members to contribute to a POWER account that functions like an HSA and affects how services get billed and reconciled. HIP 2.0 and traditional Hoosier Healthwise Medicaid are both delivered through managed care entities (MCEs) — Anthem, MDwise, Managed Health Services (MHS), and CareSource — so the correct MCE has to be confirmed per patient. Anthem is also Indiana's Blue Cross Blue Shield licensee and the state's dominant commercial carrier, giving Indiana a payer landscape where one company shows up on both the Medicaid and commercial sides under different claim rules.
Whether you're in Indianapolis, Fort Wayne, Evansville or anywhere else in Indiana — ZenoMedix RCM provides the same certified billing expertise with deep knowledge of local payer rules and Indiana Medicaid requirements.
Major Payers We Work With in Indiana
Indiana Medicaid
Indiana Medicaid runs through the Healthy Indiana Plan (HIP 2.0), a Section 1115 waiver expansion built around member POWER accounts, plus traditional Hoosier Healthwise coverage — both delivered through managed care entities including Anthem, MDwise, Managed Health Services (MHS), and CareSource, so the correct MCE is confirmed per patient.
HIPAA Compliance
Full HIPAA compliance for all IN providers. We stay current with all Indiana billing regulations. View HIPAA Statement →
Every City in Indiana — We're Your Billing Team
Remote billing means you get the same expert service whether you're in a major metro or a smaller community across Indiana.
75+ Specialties Served Across Indiana
Each specialty has a dedicated billing team trained on its CPT codes, modifiers, and payer-specific requirements in Indiana.
Everything Your Practice Needs — Nothing You Don't
Indiana Billing FAQ
They can affect member cost-sharing and continued eligibility, since HIP 2.0 requires most members to contribute to a POWER account, but claims still route through the assigned managed care entity — Anthem, MDwise, MHS, or CareSource. We confirm the correct MCE and POWER account status before submitting.
Very. Anthem is Indiana's Blue Cross Blue Shield licensee and its largest commercial carrier, and it's also one of the state's HIP 2.0 managed care entities. Our Indiana coding team bills Anthem on both the commercial and Medicaid sides, alongside UnitedHealthcare, Aetna, and Cigna.
Yes. HIP 2.0 is Indiana's ACA-expansion waiver population with POWER accounts, while Hoosier Healthwise covers traditional Medicaid-eligible children and families — both run through the same set of managed care entities, but eligibility and cost-sharing rules differ. We track which program each patient is enrolled in.
Most Indiana practices are fully onboarded and submitting live claims within 48 hours of signing. We're month-to-month — no long-term contract — and we work your existing claims backlog into the transition so nothing falls through.
We serve Indiana practices statewide, from Indianapolis, Fort Wayne, Evansville, South Bend, and everywhere in between — not just the biggest metro area.