Billing and Claims

MDwise offers three distinct programs for Indiana residents: Hoosier Healthwise, Healthy Indiana Plan, and Medicare Advantage.

Hoosier Healthwise

hoosier healthwise insurance logo

A health plan for children under the age of 19 and pregnant women.

Hoosier Healthwise Claims

Healthy Indiana Plan (HIP)

healthy indiana plan logo

A health plan for adults age 19 - 64.

Healthy Indiana Plan Claims

Medicare Advantage

MDwise Medicare Logo

 

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.

Claims Inquiry

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.

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

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 Assistance

Billing Instructions for Claims
340B Claims Processing Information