MDwise Medicare Advantage
medical
Summary
MDwise Medicare Advantage is a medical payer. Claims route under payer ID MDADV, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
MDADVAlso seen as SX172
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| 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 Medicare Advantage?
- The payer ID for MDwise Medicare Advantage is MDADV. Alternate IDs seen across clearinghouses include SX172.
- Does MDwise Medicare Advantage require ERA enrollment?
- Yes. MDwise Medicare Advantage requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does MDwise Medicare Advantage offer?
- MDwise Medicare Advantage covers medical.
- Can I submit claims to MDwise Medicare Advantage electronically?
- Yes. MDwise Medicare Advantage is reachable through clearinghouses for 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 Spot something out of date?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.