Medical Mutual - Health Plans for Life

Credentialing Requirements

Credentialing Requirements

Minimum credentialing requirements include, but are not limited to, the following:

  • Completed credentialing application with current attestation and release
  • Valid Professional License
  • Valid DEA Certificate (where applicable)
  • Proof of current malpractice coverage
    • Minimum Coverage: $1,000,000 per occurrence, $1,000,000 aggregate
  • Appropriate Professional Training
    • Graduation from appropriate professional school
    • Residency/Fellowship
    • Board Certification
    • Appropriate professional experience
    • Provider’s specialty designation in the Company directory is at the discretion of the Credentialing Committee
  • Appropriate clinical privileges at a Network Hospital (where applicable)
  • Work History
  • Malpractice History
  • Office Site and Medical Record Review (where applicable)

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.


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WebMD

Featured Content

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