What is the Stedi payer ID for MDwise (Hoosier Healthwise)?

The Stedi payer ID for MDwise (Hoosier Healthwise) is MSPZI.

What is the primary payer ID for MDwise (Hoosier Healthwise)?

The primary payer ID for MDwise (Hoosier Healthwise) is 3519M.

What payer IDs does MDwise (Hoosier Healthwise) use?

In addition to its primary payer ID 3519M, MDwise (Hoosier Healthwise) uses several other payer IDs, including 3519M and 8112.

What transactions does MDwise (Hoosier Healthwise) support?

MDwise (Hoosier Healthwise) supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with MDwise (Hoosier Healthwise)?

MDwise (Hoosier Healthwise) requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. MDwise (Hoosier Healthwise) supports COB checks through Stedi.

What other names does MDwise (Hoosier Healthwise) go by?

MDwise (Hoosier Healthwise) is also known as Hoosier HealthWise, Hoosier Healthwise, and McLaren Health Plan.

All payers

PAYER

MDwise (Hoosier Healthwise)

This page contains information you can use to exchange healthcare transactions with MDwise (Hoosier Healthwise) using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to MDwise (Hoosier Healthwise) using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical, Vision

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with MDwise (Hoosier Healthwise) using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to MDwise (Hoosier Healthwise).

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to MDwise (Hoosier Healthwise) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to MDwise (Hoosier Healthwise) in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to MDwise (Hoosier Healthwise) and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to MDwise (Hoosier Healthwise) and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from MDwise (Hoosier Healthwise) to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to MDwise (Hoosier Healthwise) and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to MDwise (Hoosier Healthwise).

Get started

Use Stedi's APIs to get fast and reliable connectivity to MDwise (Hoosier Healthwise) and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and MDwise (Hoosier Healthwise) today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Hoosier HealthWise
Hoosier Healthwise
McLaren Health Plan

Payer Network

All payers

PAYER

MDwise (Hoosier Healthwise)

This page contains information you can use to exchange healthcare transactions with MDwise (Hoosier Healthwise) using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to MDwise (Hoosier Healthwise) using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical, Vision

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with MDwise (Hoosier Healthwise) using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to MDwise (Hoosier Healthwise).

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to MDwise (Hoosier Healthwise) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to MDwise (Hoosier Healthwise) in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to MDwise (Hoosier Healthwise) and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to MDwise (Hoosier Healthwise) and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from MDwise (Hoosier Healthwise) to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to MDwise (Hoosier Healthwise) and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to MDwise (Hoosier Healthwise).

Get started

Use Stedi's APIs to get fast and reliable connectivity to MDwise (Hoosier Healthwise) and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and MDwise (Hoosier Healthwise) today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Hoosier HealthWise
Hoosier Healthwise
McLaren Health Plan