Coverage profile
How Substrate can help you with MDwise (Healthy Indiana Plan)
Substrate can help practices and billers with the following claims tasks for MDwise (Healthy Indiana Plan).
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with MDwise (Healthy Indiana Plan).
Frequently asked questions
MDwise (Healthy Indiana Plan) payer FAQs
What is the payer ID for MDwise (Healthy Indiana Plan)?
The primary payer ID for MDwise (Healthy Indiana Plan) is 3135M. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for MDwise (Healthy Indiana Plan)?
The 837P and 837I payer ID for MDwise (Healthy Indiana Plan) is 3135M via Stedi.
What is the 270 payer ID for MDwise (Healthy Indiana Plan)?
The 270 payer IDs for MDwise (Healthy Indiana Plan) are 3135M via Stedi and 38338 via Availity.
What state does MDwise (Healthy Indiana Plan) operate in?
MDwise (Healthy Indiana Plan) operates in IN.
Routing reference
MDwise (Healthy Indiana Plan) payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | MDwise (Healthy Indiana Plan)Source: Substrate payer directory · last refreshed |
|---|---|
| Operating states | INSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 3135MSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 3135MSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 3135MSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 38338Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: MDwise (Healthy Indiana Plan). Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched record: MCLAREN HEALTH PLAN. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 3135M
- 8113
- MDwise
- McLaren Health Plan
- HEALTHY INDIANA PLAN
