Medicaid eligibility review is underway for many MDwise members. Encourage patients to update their info with FSSA so they don’t lose their health coverage!
Info for patients
MDwise offers three distinct programs for Indiana residents: Hoosier Healthwise, Healthy Indiana Plan, and Medicare Advantage.
Hoosier Healthwise Claims
Healthy Indiana Plan Claims
All MDwise claims should be mailed to: MDwise P.O. Box 1575 Flint, MI 48501
Electronic Payer ID Numbers: Hoosier Healthwise EDI: 3519M Healthy Indiana Plan EDI: 3135M Medicare Advantage Plan EDI: MDADV
If a member is involved in an accident, subrogation communication should be sent to: Multiplan Phone: 866-223-9974 fax: 866-297-3112 Address: 535 Diehl Road, Suite 100 Naperville, IL, 60563
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.
MDwise Quick Contact Guide provides the most up-to-date contact information for MDwise.
Providers can use myMDwise provider portal to quickly view the status of their claims. New users will need to request an account. Providers may also call our Provider Customer Service Unit at 1-833-654-9192.
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.
MDwise has moved to Optum Clearinghouse. If you are already enrolled with Optum for other payers, there is nothing else you need to do, Optum will add MDwise to your profile.
Billing Instructions for Claims 340B Claims Processing Information