Claims
MDwise offers two distinct programs for Indiana residents: Hoosier Healthwise and Healthy Indiana Plan.
All MDwise HIP and HHW claims should be mailed to:
MDwise/McLaren Health Plans
P.O. Box 1575
Flint, MI 48501
2019 Electronic Payer ID Numbers:
Hoosier Healthwise EDI: 3519M
Healthy Indiana Plan EDI: 3135M
*For 1/1/2019 dates of service and forward. For claims prior to 1/1/2019, please reference our Quick Contact Guide.
NEW Taxonomy Requirement: Effective April 15, 2020
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