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Claim Disputes
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- Submit completed dispute form to Hoosier Alliance including: Explanation of Benefits (EOB) & all supporting documentation
- Disputes must be filed within 60 calendar days of dated EOB. Decision will be made within 30 calendar days
Participating Providers mail Disputes to:
Hoosier Alliance Claims Disputes
200 Stevens Drive, Suite 350
Philadelphia, PA 19113
Non-Participating Providers mail Disputes to:
MDwise
Attn: MDwise Appeals Coordinator
P O Box 441423
Indianapolis, IN 46244-1423
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