Healthy Indiana Plan Claims Information

All MDwise Healthy Indiana Plan claims are processed by DST.
 
All MDwise HIP claims should be mailed to:
MDwise HIP Claims
P.O. Box 331609
Corpus Christi, TX 78463-1609
Change Health/Emdeon/WebMD Payer ID: 31354
 
Please be aware that in-network providers have 90 days from the date of service to submit claims. Further information on Healthy Indiana Plan claim submission and guidelines can be found in chapter 10 of the MDwise Healthy Indiana Plan (HIP) Provider Manual.
 
The MDwise Quick Contact Guide provides the most up-to-date contact information for MDwise and its delivery systems.
 

Billing Assistance

Billing Instructions for Claims
 

Claims Inquiry

Providers can use the myMDwise provider portal to quickly view the status of their claims. New users will need to request an account. Providers can also submit a HHW/HIP Claims Provider Inquiry form to learn the status of their claims.

MDwise Excel Network providers can use NaviNet to view claims information.
 

Disputing and Appealing Claims

Providers have 60 days from the initial claim determination to submit a dispute, or 90 days from the date of service if the provider never received a claim determination.
Claim Dispute and Appeals Instructions
Claim Dispute Form
 

Claims Forms

Click here to see all claims forms.
 

MDwise Debit Card Prepayment Tool

Healthy Indiana Plan (HIP) POWER Account Prepayment Tool Instructions