Providers

Welcome Medicare Advantage Providers!

Welcome to the Providers area of our website. Providers and their staff are encouraged to use this section of the site to review information regarding Medicare Advantage Plans as well as any updates to forms, coverage and payments throughout the year.

IU Health Plans has a new Claims Address. All claims should be sent to:

Government Products Claims
Indiana University Health Plans
PO Box 4287, Scranton, PA 18505

IU Health Plans Forms

• IU Health Plans Medicare 2012 Provider Manual
• IUHealth Plans Medicare 2013 Provider Manual(Coming Soon)
• Wavier of Liability Statement Form
• Contact List/Quick Reference Guide
• Authorization Requirement List
• Prior Authorization Form
• J Code – Medication Authorization List and Forms
• IU Health Plans Claim Inquiry Form
• Claim Dispute Form
• Clinical Appeal Form

Provider Portal (Secure Online Patient Information)

IU Health Plans has launched a new  Provider Portal. Below is a link to the new online Portal and Registration Form

• This link will take you to the Portal and Registration Page

Additional Resources

• Fraud, Waste & Abuse Training
• Disease Management
• IU Health Plans Medicare Part B Authorization List

Pharmacy Links and Forms

• Coverage Determinations & Exceptions (Provider)
• Coverage Determinations/Part D Prior Authorization
• Formulary
• Coverage Determination (Physicians)
• Coverage Determination (Speciality Drugs) Forms
• Request for Medicare Prescription Drug Determination Form
• Request for Medicare Prescription Drug Redetermination Form
• Request for Medicare Prescription Drug Reconsideration Form

Click Here for Information on our Drug Management Programs
Click here for Information on Seasonal Allergy Medications