Medicare Part B: WPS rulesAetnaIndiana Medicaid (IHCP)
  • Medicare Part B (WPS): RightLine checks rules from this plan's published policies, last checked October 24, 2026.
  • Aetna: RightLine checks rules from this plan's published policies, last checked October 25, 2026.
  • Indiana Medicaid (IHCP): RightLine checks rules from this plan's published policies, last checked October 24, 2026.

Rules from published plan policies

What it checks in Indiana

  • Medicare Part B: national rules plus WPS's second-diagnosis list and its Item 19 and signature checks. WPS's other rules aren't checked yet.
  • Medicare Advantage: general coding and note checks, with the plan's own rules flagged for you to confirm.
  • Anthem BCBS (commercial): general coding and documentation rules; Anthem publishes no chiropractic visit limits or prior authorization.
  • Aetna (commercial): Rules from Aetna's public chiropractic policy and claim pages, plus general checks. Rules behind Aetna's provider login aren't checked.
  • Other commercial plans, including Blue Cross Blue Shield plans not named above: general coding and documentation rules, not plan-specific policies.
  • Indiana Medicaid (IHCP) (fee-for-service): rules from the program's published chiropractic policy on the yearly limit of 50 units and E/M billed with manipulation.
  • Medicaid managed care plans: general coding and note checks, with the plan's own rules flagged for you to confirm.
  • Self-pay visits: note and coding checks.
  • Benefit managers on commercial plans: two ASH review checks when ASH manages the plan. For other managers, a reminder that their own rules aren't checked.
  • Every visit: copied-note check, ICD-10-CM validity, and DC sign-off with a PIN.

Not checked yet: auto injury (PIP), workers' comp, each Medicare Advantage plan's own rules, Medicaid managed care plans' own rules, Aetna's rules behind its provider login, and other commercial plans' own rules.

Availability

Available to practices in Indiana.

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