Medical Mutual - Health Plans for Life

Commitment to Quality

Medical Mutual is proud to ensure all providers our dedication of Commitment to Quality.

Providers will be able to access various Quality Improvement publications and activities as well as links to Medical Mutual’s affirmative statement, credentialing department, practice guidelines, network availability measurement and improvement, network clinical and service issues and satisfaction measurement and improvement.

Medical Mutual believes that a team approach that includes information sharing is essential if we are to improve standards for all our providers and members.

Quality Improvement Program

Medical Mutual's mission is to provide cost-effective access to quality healthcare for our members by delivering leading-edge health insurance products and related services in a manner that enables us to maintain a strong financial foundation, control of our destiny and remain a strong employer. To support this mission, Medical Mutual’s Care Management department has implemented a comprehensive Quality Improvement (QI) Program and continually redesigns this program to:

  • Improve the quality of healthcare services for members and their access to those services
  • Communicate clinical information to members and providers
  • Monitor and evaluate the quality and safety of healthcare provided to members
  • Achieve and maintain formal accreditation

Coming In 2008

  • Secure Online Provider Portal
  • Electronic Funds Transfer
  • Electronic Remittance Advice

You've asked and we've listened! Learn More about new features and functionality coming to your provider website!

Online Services

Emdeon Office

Access patient claim status, eligibility, benefits information and more.


ReviewLink

Submit online prior approval requests for acute inpatient, skilled nursing facility and inpatient rehabilitation admissions. Access Smartsheets and submit requests for outpatient imaging services.


Find a Provider

Maximize your cost savings and avoid unexpected charges by finding providers in the Medical Mutual network.

Find a Provider

WebMD

Featured Content

Access exclusive health and wellness information and tools from Medical Mutual and the world's premier online source... WebMD.

Report Fraud

Fraud detection has saved Medical Mutual members $58 million since 1983. If you suspect fraud, Medical Mutual wants to know.

Report Fraud

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