MDwise (Hoosier Healthwise)
dentalmedicalvision
Summary
MDwise (Hoosier Healthwise) is a dental, medical, and vision payer operating in Indiana. Claims route under payer ID 3519M, with 2 alternate IDs 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
3519MAlso seen as 10598, 8112- Also known as
- Hoosier HealthWise, Hoosier Healthwise, 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 (Hoosier Healthwise)?
- The payer ID for MDwise (Hoosier Healthwise) is 3519M. Alternate IDs seen across clearinghouses include 10598, 8112.
- Does MDwise (Hoosier Healthwise) require ERA enrollment?
- Yes. MDwise (Hoosier Healthwise) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does MDwise (Hoosier Healthwise) cover?
- MDwise (Hoosier Healthwise) 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 (Hoosier Healthwise) offer?
- MDwise (Hoosier Healthwise) covers dental, medical, and vision.
- Can I submit claims to MDwise (Hoosier Healthwise) electronically?
- Yes. MDwise (Hoosier Healthwise) 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 Spot something out of date?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.