The MDwise relationship with former claims vendor DST is coming to a close. All inquiries or disputes for claims with dates of service prior to 1/1/17 are due no later than 3/15/18. Per the MDwise Provider Manual:
- contracted providers have 90 days from the date of service to file a claim
- non-contracted providers have 365 days from the date of service to file a claim
- disputes are accepted up to 60 days from the date of the EOB
All claims inquiries or disputes with dates of service prior to 1/1/17 that are received outside of the 60-day dispute timeframe, will not be considered for further review.