MDwise (Healthy Indiana Plan)
dentalmedicalvision
Summary
MDwise (Healthy Indiana Plan) is a dental, medical, and vision payer operating in Indiana. Claims route under payer ID 3135M, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
3135MAlso seen as 8113- Also known as
- MDwise, McLaren Health Plan
- Service area
- IN
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for MDwise (Healthy Indiana Plan)?
- The payer ID for MDwise (Healthy Indiana Plan) is 3135M. Alternate IDs seen across clearinghouses include 8113.
- Does MDwise (Healthy Indiana Plan) require ERA enrollment?
- Yes. MDwise (Healthy Indiana Plan) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does MDwise (Healthy Indiana Plan) cover?
- MDwise (Healthy Indiana Plan) operates in IN. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does MDwise (Healthy Indiana Plan) offer?
- MDwise (Healthy Indiana Plan) covers dental, medical, and vision.
- Can I submit claims to MDwise (Healthy Indiana Plan) electronically?
- Yes. MDwise (Healthy Indiana Plan) is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.