Claims
MDwise offers three distinct programs for Indiana residents: Hoosier Healthwise and Healthy Indiana Plan.
All MDwise claims should be mailed to:
MDwise/McLaren Health Plans
P.O. Box 1575
Flint, MI 48501
Electronic Payer ID Numbers:
Hoosier Healthwise EDI: 3519M
Healthy Indiana Plan EDI: 3135M
Medicare Advantage EDI: MDADV
Taxonomy Code Requirements
Please be aware that in-network providers have 90 days from the date of service to submit claims. Further information on claim submission and guidelines can be found in the
Provider Manual.
The
MDwise Quick Contact Guide provides the most up-to-date contact information for MDwise.
Claims Inquiry
Providers can use
myMDwise provider portal to quickly view the status of their claims.
New users will need to request an account.
Disputing 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.
Claims Forms
Claim Dispute Form
Click here to see all claims forms
Billing Assistance
Billing Instructions for Claims
340B Claims Processing Information