Provider Credentialing

To support Medical Mutual’s mission to provide financing and management of health benefits that improve the health and well being of our members and the communities it serves, the Company credentials all providers applying to our Networks and periodically thereafter for the duration of the provider’s participation in those Networks.

• Council for Affordable Quality Healthcare (CAQH)
  

  Clinical Credentialing supports Medical Mutual has joined other health insurers who participate in the HIPAA compliant, one-stop credentialing application process developed by the Council for Affordable Quality Healthcare (CAQH).

• Credentialing Requirements
  

  Medical Mutualcredentials providers according to the standards of nationally accrediting bodies, as well as Company policy and procedure.

• Clinical Credentialing
  

  Clinical Credentialing conducts office site and medical record review, promotes compliance with national quality and regulatory standards, educates the provider community to the nationally recognized standards, develops and implements Corrective Action Plans and oversees the credentialing policies and procedures of delegated entities.

• Network Nomination
  

  Network Provider Nomination & Enrollment Form.

Find a Provider

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

Find a Provider

Featured Content

Medical Mutual is committed to creating a diverse workforce.

Learn More

MedMutual.com | Providers Main | Become a Network Provider

Tools & Resources | Forms | Products & Services | Healthy Patients

WebMD | Contact | Site Map | Legal | HIPAA | Privacy | Accreditation

This Medical Mutual of Ohio Web site contains links to Web sites operated by third parties who are not under the control of Medical Mutual of Ohio or its affiliates and subsidiaries. Medical Mutual of Ohio disclaims all liability with regard to the information presented on these Web sites as well as your access to such linked Web sites. Medical Mutual of Ohio provides links to other sites as a service to users, and access to any other sites linked to Medical Mutual of Ohio is at your own risk.

© 2007 Medical Mutual of Ohio^®