Shoreline Healthcare Technologies is a proud Maine-based  company that offers end to end revenue cycle management services to physicians and Medical billing companiesin Indiana. Our goal is to help them manage their business in a way where they can focus on patient care and operations, not paperwork! By providing great services at reduced costs, we have been able to keep our customers since our inception in 2015. Explore our case studies to see how we’ve helped practices overcome complex billing challenges and improve cash flow.

As a medical billing outsourcing company, we have helped our clients grow their business by providing them with the resources they need to succeed while maintaining a competitive edge in today’s industry. We offer timesaving, cost-effective revenue cycle management services to your Indiana-based practice. Ready to outsource your billing needs? We’ll guide you through your receivable account to make sure that your claims are paid.

Best In the Industry

Shoreline Healthcare Technologies in Indiana exceeds customer expectations and we are proud of our history, but more importantly we are focused on the future. We have grown in recent years by continuing to invest in technology and people while maintaining a commitment to excellent service and innovation. We have the best customer service and one of the highest success rates for reimbursement, so you know your money will be going where it belongs - back into your pocket.

Indiana Billing Challenges we solve

POWER Account Monitoring + Automated HIP Plus → HIP Basic Tracking

HIP’s member-contribution model is one of the biggest reasons for the claims to flip from payable to non-payable. Shoreline Healthcare Technologies helps to build stability by pulling daily data through its eligibility synchronization workflows to flag members who are trending toward a HIP Basic downgrade. This enables providers to get real-time alerts even before a patient shows up. We route each denied claim back with the corrected coverage indicators and applies Indiana-specific modifiers to stabilize reimbursement.

Eliminating the INXConnect vs. MCO Eligibility Mismatch Problem

INXConnect often shows a member as eligible even when the MCO’s system hasn’t updated. This is one of Indiana’s most expensive sources of denial delays. We at Shoreline Healthcare Technologies solves this by running dual eligibility verification (State + MCO file) and flag mismatches instantly. We redirect all the claims to the correct payer based on the exact effective enrollment date, not just the portal snapshot. This results in no more bouncing claims between plans, and no waiting 60+ days to resubmit a denial.

Centralizing Prior Authorization Rules Across All Indiana MCEs

Each MCE has different PA requirements, leading to denials. At Shoreline we have simplified PA management by building a central PA rules engine that merges all policies into a single view, flagging services that need PA before the patient is seen. Our team consistently tracks all PA approvals and links the PA number to the claim. So, there is no more duplicate faxes, no more missing PA numbers, and no more “authorization not on file” denials. This has contributed to a massive reduction in preventable denials with faster and more predictable reimbursements.

We at Shoreline Healthcare Technologies provide personalized support tailored to the unique needs of Indiana providers. Our team of experts understands the intricacies of the Indiana billing landscape and offers guidance to help practices navigate these challenges effectively with our cloud-based RCM solutions for an optimized Revenue Cycle Management.

Comprehensive Medical Billing Services for Indiana

Specialized Services tailored to meet Indiana Medicaid rules and regulations

🩺 Services	📍Indiana Specialization	📈 Typical Improvement	⏱️ Turnaround Time
End-to-End Medical Billing	Tailored to meet the needs of Indiana Medicaid, HIP Plus/Basic rules.	20–35% reduction in denials, faster payment cycles across multiple plans.	Claim submission within 24–48 hours
Eligibility & Coverage Verification	Dual verification with INXConnect + MCE enrollment data to prevent mismatched payer submissions	25–35% drop in eligibility-based denials	Instant + daily auto-refresh
Prior Authorization Management	Centralized PA workflows for Indiana’s fragmented MCE PA lists	40–60% reduction in PA denials	3–5 business days for standard PAs
Denial Management	AI based tools to track and flag denial codes and root-cause analysis tailored for Medicaid claim categories, identifies high-risk categories and automate resubmissions.	Reduce rate of denial by 75% and with quicker appeals.	7–14 days for backlog cleanup; ongoing daily follow-up
HIP POWER Account & Coverage Tier Monitoring	Automated tracking of HIP Plus → HIP Basic shifts, pregnancy switches, and retroactive eligibility updates	70% reduction in retro-downgrade denials	Daily monitoring
Telehealth Billing	Applies telehealth geography rules, specific codes, modifiers, and POS	25–40% fewer telehealth denials	Same-day telehealth claim processing.
Patient Statements & Follow-Up	Includes text/email payment reminders and online payment options.	Reduces overdue balances and better collection rates.	1-2 weeks
Audit & Compliance Support	Conducts Audit Review and mock audits, including documentation, encounter verification, and claim reconciliation.	Minimizes risk of penalties and supports successful audits.	Ongoing, depending on audit schedule

Medical Billing Resources for Indiana

Comprehensive resources specifically designed for Medicaid Providers to navigate the state’s complex Billing Landscape.

Medicaid Billing Guide

A Complete guide covering all billing requirements, policy updates and compliance standards.

Behavioral & Mental Health Billing rules and guidelines

Specialized billing guidelines and documentation procedures for behavioral health programs.

Revenue Cycle Optimization

Best Practices and Strategies to improve cash flow and reduce denials.

Telehealth and Remote patient Monitoring in Indiana

Indiana’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Indiana

From Acadia to West Feliciana, we provide comprehensive medical billing services across all 64 Indiana Parishes.

Northwest Indiana:

Lake, Porter, LaPorte, Jasper, Newton

North Central Indiana:

St. Joseph, Elkhart, Marshall, Kosciusko, Fulton

Northeast Indiana:

Allen, Adams, Wells, Huntington, Whitley, DeKalb, Noble, Lagrange, Steuben

West Central Indiana:

Tippecanoe, White, Benton, Warren, Fountain, Montgomery, Clinton, Carroll

Central Heartland:

Marion, Hamilton, Boone, Hancock, Hendricks, Morgan, Johnson, Shelby, Madison, Tipton, Howard

East Central Indiana:

Delaware, Henry, Wayne, Randolph, Jay, Blackford

Southwest Indiana:

Vanderburgh, Posey, Gibson, Warrick, Spencer, Perry

South Central Indiana:

Dubois, Pike, Knox, Daviess, Martin, Lawrence, Orange, Brown, Bartholomew, Jackson, Jennings

Southeast Indiana:

Clark, Floyd, Harrison, Washington, Scott, Jefferson, Switzerland, Ohio, Dearborn, Ripley

Savings Estimation Calculator

Practice Type/Speciality

No. of Physicians

Monthly Patient Volume

% of Insurance Pay Patient

% of Self Pay Patient

Frequently Asked Questions

FAQs about Medical Billing Services in Indiana

Q1. How can providers check the patient’s eligibility for Medicaid in Indiana?

Providers can check the eligibility through INXConnect, Indiana’s official verification portal. INXConnect updates eligibility earlier than the MCE systems, so it’s best practice to run a dual check in INXConnect + the member’s assigned MCE portal.

Q2. What is the difference between HIP Plus and HIP Basic when billing?

HIP Plus includes more covered services, while HIP Basic has stricter limits and copay requirements. If a member falls behind on POWER Account contributions, they may be downgraded to HIP Basics that can affect coverage for labs, imaging, therapy, dental, and certain drug classes

Q3. How long does Acentra Health take to review a PA?

The standard turnaround is 5 working days, but expedited requests may receive decisions faster if medical urgency is documented.

Q4. What is the timely filing limit for Medicaid claims in Indiana?

All Medicaid FFS Claims	180 days from the date of service
For MCE’s	90–180 days depending in the plan

Q5. How can Shoreline Healthcare Technologies help providers in Indiana?

We at Shoreline Healthcare Technologies handle the entire process of RCM Cycle from patient appointment scheduling to eligibility checks, prior auths, coding, claim submissions, denials, and appeals, till payment processing and patient communication ensuring faster payments and compliance with state specific rules. We also offer analytics and process automation to reduce first pass rejects in state systems and to reconcile managed-care encounter reporting.

Compliance & Certifications

Your data security and compliance are our top priorities.

HIPAA Compliant

Full HIPAA compliance with regular audits

AAPC Certified

Certified Professional Billing Staffs.

Indiana Licensed

Licensed to operate in Indiana

Medical Billing Glossary

Essential Terms for Understanding the Indiana’s Medical Billing Landscape

Acentra Health

The state’s contracted partner for handling prior authorization (PA) reviews for Indiana Medicaid programs. Providers must submit the clinical documentation to Acentra for services that require medical necessity review before the claim can be approved.

Family and Social Services Administration (FSSA)

The Indiana’s state agency that oversees Medicaid. It manages the IHCP program, sets and supervises MCE contracts and policies. It is responsible for running systems like CoreMMIS and INXConnect through the Office of Medicaid Policy and Planning (OMPP).

Healthy Indiana Plan (HIP)

The Indiana’s flagship Medicaid program for low-income adults. It uses a unique POWER Account system, where member contribution status determines coverage level (HIP Plus vs. HIP Basic). HIP rules often affect prior authorization, cost-sharing, and benefit eligibility.

Hoosier Care Connect Hoosier Care Connect

Hoosier Care Connect is Indiana’s specialized managed care program for aged, blind, and disabled members. These members receive care through contracted MCEs and benefit from enhanced care coordination.

Indiana Health Coverage Programs (IHCP)

The official umbrella term for all Indiana Medicaid programs, including HIP, Hoosier Healthwise, Hoosier Care Connect, and Traditional Medicaid (FFS). It also refers to the provider network and billing rules governed by the state

INXConnect

The official eligibility verification portal for Indiana Medicaid. Providers use it to confirm a member’s enrollment, coverage package, MCE assignment, restrictions, and benefit limitations.

Sandata

The EVV vendor used by the state of Indiana for capturing visit data of home-based services. It integrates with the Medicaid billing, so Sandata records must match the billing claim exactly otherwise the claim will be denied for failed EVV verification.

Our Services

Shoreline proudly supports physicians, medical groups, and medical billing companies. Following are the revenue cycle management steps we offer.

Testimonials

My first time in solo practice I was very concerned about my ability to manage "the business side" of medicine. The personalized care and guidance this group provided to me and my staff were really a life saver. They always had quick turnaround on any questions I sent in, and were very knowledgeable for problem solving on the fly! I never feel like just a number, as I might have with a large corporation.

★ ★ ★ ★ ★

Family Medicine Centre in Maine

“We use Shoreline Medical Billing for all our billing needs, the support is second to none! They are always up to date with coding updates which helps to ensure timely billings and prompt payments. I highly recommend Shoreline Medical Billing for your billing needs.”

★ ★ ★ ★ ★

Nephrology Group in New Hampshire

I have been using Shoreline Medical Billing for almost 2 years, and I could not be more pleased with their service. They really care about my business. With all the complexities of medical billing, we needed a professional partner to help us. Shoreline delivered.

★ ★ ★ ★ ★

Pain Management in New Jersey

We switched to Shoreline Medical Billing. Our claims are getting paid, and we are getting friendly, knowledgeable service. We highly recommend Shoreline.

★ ★ ★ ★ ★

Internal Medicine & Nephrology in Georgia

I’m a small pediatric OT practice and have been with Shoreline for several years now. They have made it so easy for me to keep my focus on patient care by being so knowledgeable and so efficient with all aspects of my billing. When I do have questions, they are always available and able to help quickly. Couldn’t be happier!

★ ★ ★ ★ ★

Peds OT Clinic in Maine

Thanks so much for working so hard to help my company:) It sound cheesy, but having a biller I could trust changed my life by giving me the headspace/time to focus on clinical work, scale my business and sleep better at night. I've had quite a few people ask about you on Facebook Messenger from my posts. Overall, the feedback I've heard back from everyone is that you guys are very responsive and helpful.

★ ★ ★ ★ ★

Nurse Practitioner Group in Washington

Hi, following up on our conversation about Shoreline. I did let them know that I had some concerns and they were very understanding. They have been very responsive and proactive in their billing process, reports and communication. It has been very good. Thank for recommending them.

★ ★ ★ ★ ★

Nurse practitioner in Delaware

Before Shoreline, billing was a constant headache. Now, our reimbursements are faster, and I’m no longer chasing unpaid claims. Their team handles everything so efficiently, it’s one less thing I need to worry about.

★ ★ ★ ★ ★

Internal Medicine in Arizona

We Care

From electronic health records, billing services and practice management tools-Shoreline has you covered! In addition to being an industry leader when it comes to pricing, we also provide personalized support for every client, with a team of experts who have worked with physicians and medical groups for years, Shoreline Healthcare Technologies in Indiana understands how to navigate today’s complex healthcare revenue environment.

Ready to Optimize Your Medical Billing?

Get your free consultation and discover how much you could save with our Indiana -specialized billing services.

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Contact Information

445 Main Street, 2nd Floor, #1, Saco, ME 04072
1-855-838-1370
info@shorelinemb.com
M-F, 9am - 5pm EST

Why work with us?

✔ 40% average denial rate reduction
✔ Local billing expertise
✔ 24-48 hour claim turnaround
✔ Dedicated Indiana support team

The Best Medical Billing Company in Indiana - Shoreline

Best In the Industry

Indiana Billing Challenges we solve

POWER Account Monitoring + Automated HIP Plus → HIP Basic Tracking

Eliminating the INXConnect vs. MCO Eligibility Mismatch Problem

Centralizing Prior Authorization Rules Across All Indiana MCEs

Comprehensive Medical Billing Services for Indiana

Medical Billing Resources for Indiana

Medicaid Billing Guide

Behavioral & Mental Health Billing rules and guidelines

Revenue Cycle Optimization

Telehealth and Remote patient Monitoring in Indiana

Serving Healthcare Providers Across Indiana

Northwest Indiana:

North Central Indiana:

Northeast Indiana:

West Central Indiana:

Central Heartland:

East Central Indiana:

Southwest Indiana:

South Central Indiana:

Southeast Indiana:

Savings Estimation Calculator

Frequently Asked Questions

Q1. How can providers check the patient’s eligibility for Medicaid in Indiana?

Q2. What is the difference between HIP Plus and HIP Basic when billing?

Q3. How long does Acentra Health take to review a PA?

Q4. What is the timely filing limit for Medicaid claims in Indiana?

Q5. How can Shoreline Healthcare Technologies help providers in Indiana?

Compliance & Certifications

HIPAA Compliant

AAPC Certified

Indiana Licensed

Medical Billing Glossary

Acentra Health

Family and Social Services Administration (FSSA)

Healthy Indiana Plan (HIP)

Hoosier Care Connect Hoosier Care Connect

Indiana Health Coverage Programs (IHCP)

INXConnect

Sandata

Our Services

Testimonials

Family Medicine Centre in Maine

Nephrology Group in New Hampshire

Pain Management in New Jersey

Internal Medicine & Nephrology in Georgia

Peds OT Clinic in Maine

Nurse Practitioner Group in Washington

Nurse practitioner in Delaware

Internal Medicine in Arizona

We Care

Ready to Optimize Your Medical Billing?

Get Your Free Consultation

Contact Information

Why work with us?