Medical Mutual - Health Plans for Life
  Instructions

Welcome to Provider ePortal Registration!

Upon completion of this application, you will receive an e-mail confirmation. This will give you access to our secure online resources. This application will take approximately 5 minutes to complete. Required information is marked with an asterisk (*).

Register as the Primary Access Administrator (PAA) if you have legal signatory authority for the provider organization. The PAA will be responsible for administering access to other users, including individuals within the organization and billing company representatives.

NOTE: Only one individual may sign up as PAA for the organization and the PAA must be the first account set up.

More on the PAA

As Primary Access Administrator (PAA) you will need:

  1. Your Organization's Federal Tax Identification Number (TIN)
  2. A claim number, payee number, and subscriber number connected to each TIN you are registering (this information can be found on a Company remittance advice statement or notice of payment)
  3. Your organization's name and mailing address
  4. Your name and contact information

What happens after I submit my application?

We will send two separate e-mails to the address you provided in the registration process. One e-mail will provide you with your username; the other with a temporary password. The password must be changed after your first login.

NOTE: In addition, we will send a postal letter to each of your organization's service locations, informing them of your completed application as PAA for each requested TIN.

You can still register as a user for Provider ePortal if you do not have legal signatory authority for the provider organization. This includes others within the organization as well as billing company representatives. The PAA must establish the first account for the organization before other users can apply.

NOTE: Once you complete this application, your PAA will be e-mailed to approve your access for this TIN.

More on Other Users

As a user you will need:

  1. A Federal Tax Identification Number (TIN) for each organization you are registering
  2. Your name and contact information

What happens after I submit my application?

After you complete and submit this application, an e-mail is sent to the organization’s PAA who is responsible for approving your request to access secure information on this site. Allow two to three days for the PAA to respond to your request.

Once your PAA approves your access rights, two separate e-mails will be sent to the e-mail address you have supplied in your application. One of the e-mails will contain your username; the other your temporary password. The password must be changed after your first login.

 
   

This Medical Mutual website may contain links to other Internet sites (“Third Party Sites”) that are not maintained by or under the control of Medical Mutual. These links are provided solely for your convenience, and you access them at your own risk. Medical Mutual makes no warranties or representations about the contents of products, services or information offered in such Third Party Sites. Consequently, Medical Mutual is not and cannot be held responsible for the accuracy, copyright compliance, legality or decency of material contained in Third Party Sites linked to this Medical Mutual website.

© 2017 Medical Mutual®