Hoosier Healthwise Claims Information

At MDwise the administration of Hoosier Healthwise claims is delegated to the MDwise delivery systems. Because of this, providers must submit their claims to the assigned delivery system of the member receiving services. Providers can check the delivery system of the member through HP’s Web interChange. They can also log in to myMDwise provider portal. New users will need to request an account.
 
Full information on Hoosier Healthwise claim submission and guidelines can be found in chapter 10 of the MDwise Hoosier Healthwise Provider Manual.
 
Addresses and phone numbers for each delivery system’s claim department can be found in the MDwise Quick Contact Guide. Please be aware in-network providers have 90 days from the date of service to submit claims.
 

Claims Inquiry

Providers can use myMDwise provider portal to quickly view the status of their claims. 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.