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Healthy Indiana Plan (HIP) Provider Claims

Effective 1-1-13 all HIP claims regardless of date of service should be mailed to:

MDwise HIP Claims
PO Box 830120
Birmingham, AL 35283-0120

 

WebMD/Emdeon
Institutional Payer ID - 12K81
Professional Payer ID - SX172


McKesson/Relay Health
Institutional Payer ID - 4976
Professional Payer ID – 4481

 

If you have questions, please call MDwise Provider Service at 1-800-356-1204 (toll free) or in
Indianapolis at 317-630-2831.

HIP ID card.Billing Instructions for Claims pdf format

Instructions show what information should be filled in to specific blanks on the MDwise Healthy Indiana Plan Health Claim Forms.