Claims

MDwise offers three distinct programs for Indiana residents: Hoosier Healthwise and Healthy Indiana Plan.
 
        Hoosier Healthwise Claims       Healthy Indiana Plan Claims             MDwiseMedicare.jpg
      

         Hoosier Healthwise Claims        Healthy Indiana Plan Claims      Medicare Advantage Claims 

 
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