Healthcare Providers

Availity Login

Log in to the Availity Portal and select Medical Mutual to access:

• Eligibility and Benefits
• Claims Status
• Electronic Remittance Advice (eRA) Statements
• Fee Schedule Lookup
• Provider Record Updates
• Provider Action Request (appeal form)

Not registered with Availity? Register now.

Prior Approval Resources

• CPT/HCPCS Code List for Commercial and Medicare Advantage Prior Approval
• Medical drug, PT/OT/ST/chiropractic treatment, transplant, outpatient radiology and radiation/oncology services:
  • Individual and Family Plans (Commercial Plans)
  • Medicare Advantage Plans
• Corporate Medical Policies

News and Information

Visit our News and Information page for important information like:

• Mutual News Provider Newsletters
• Mutual News Bulletins 
• Other Policy and Vendor Updates

You can also provide us with your email so we can notify you when new items are posted to the News and Information page.

Inpatient Admittance Forms

These forms are for non-contracting providers or providers outside of Ohio (including Cigna).

• Inpatient Medical Fax Form – Used when Medical Mutual members are admitted to an inpatient facility
• Inpatient Behavioral Health Fax Form – Used when Medical Mutual members are admitted to an inpatient facility for behavioral health

Medical Mutual Member Identification Cards

View sample images and important provider information about our Medical Mutual member identification (ID) cards.

Cigna Provider Information

Visit our Cigna Provider Information page for important information on:

• Eligibility and Benefits Verification
• Cigna Claims Submission
• Prior Approvals 
• Co-branded Member ID Cards