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MEDICARE ADVANTAGE PLANS
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Dental, Vision and Hearing Coverage
Extra Programs and Services
Important Plan Information
MedMutual SeniorCare™
MEDICARE SUPPLEMENT INSURANCE PLANS
Our Medicare Supplement Insurance Plans
MedMutual Supplement Plus
Extra Benefits and Opportunities
ENROLLMENT INFORMATION
Medicare Eligibility Rules
When to Enroll
How to Enroll
MedMutual Advantage Member Resources
ABOUT MEDICARE
Understanding Medicare
The Parts of Medicare
Find the Plan that Fits Your Needs
Go to Individuals and Families Overview
PLANS AND PRODUCTS
Medical
Dental
Vision
Short-term
Accident and Critical Illness
Life
HEALTH AND WELLNESS PROGRAMS
Wellness Programs
Chronic Condition Management, Case Management and Maternity Programs
HEALTH INSURANCE EDUCATION
How to Get Health Insurance
What is Individual Health Insurance
Employer vs. Individual Insurance
How a Deductible Can Lower Your Premium
How to Select a Doctor
Types of Health Insurance Plans
Understanding an HSA
Understanding Health Insurance Costs
FAQs
Glossary
Go to Employers Overview
PLANS AND PRODUCTS
Small Group Health Plans
Midsize Group Health Plans
Large Group Health Plans
Dental
Vision
Life and Disability
Accident, Critical Illness and Hospital Indemnity
Consumer Driven Health Plans (CDHPs)
Prescription Drug
Federal Employees Health Benefit Program
HEALTH AND WELLNESS PROGRAMS
Workplace Wellness Programs
Add-On Programs
Employee Programs to Manage Chronic Conditions
Maternity Program
Case Management Program
Utilization Management and Medical Policy and Review
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Prescription Drug Information
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CLINICAL POLICIES AND GUIDELINES
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Medical Necessity Criteria and Clinical Review Guidelines
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Prior Approval and Investigational Services
PHARMACY AND DRUG POLICIES
Medical Drug Management
Prescription Drug Information
REIMBURSEMENT AND ADMINISTRATIVE POLICIES
Reimbursement Policies
Laboratory Management Policies
Accessibility Standards
Go to Providers Overview
ENROLLMENT AND ADMINISTRATIVE
EFT and ERA
Credentialing
MedCommunity Resources
Ambulatory Surgical Classification Grouper Lists
Medical Mutual Service Accounts
QUALITY AND CARE PROGRAMS
Continuity and Coordination of Care
Chronic Condition Management Program
Health Outcomes Survey Tip Sheet
Clinical Supply Materials
Healthcare Technology Assessment
COMPLIANCE AND REGULATORY
No Surprises Act
Risk Adjustment Information
First tier, Downstream or Related Entities
Cultural Competency Resources
Claims Edit System
EXTERNAL RESOURCES
Optum Payment Integrity Portal
The Waco Guide
Routine Test Management Provider Webinar
Optum® EDC Analyzer™
Go to Providers Overview
AUTHORIZATION AND COVERAGE
Prior Approval Form
Member Forms
Request for Medicare Prescription Drug Coverage Determination Form
Request for Redetermination of Medicare Prescription Drug Denial Form
FACILITY AND INPATIENT
Acute Discharge Planning Worksheet
Inpatient Behavioral Health Fax Form
Inpatient Medical Fax Form
CLAIMS AND BILLING
Electronic Claims Waiver Request
Medical Record Attestation Form
Waiver of Liability Form
PROVIDER UPDATES
Provider Information Form
Medicare Advantage Provider FDR Attestation Form
Network Provider Enrollment Form
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Ambulatory Surgical Classification Grouper Lists

ASC Grouper List effective for claims with dates of service on or after Oct. 1, 2025.
ASC HCPCS Assignment for Claims - 2025

ASC Grouper List effective for claims with dates of service on or after Apr. 1, 2026.
ASC HCPCS Assignment for Claims - 2026

 

Page last updated on 7/29/2026

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