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MEDICARE ADVANTAGE PLANS
MedMutual Advantage Plans
Dental, Vision and Hearing Coverage
Extra Programs and Services
Important Plan Information
MedMutual SeniorCare™
Upcoming Events
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
Health Savings Accounts (HSAs)
Flexible Spending Accounts (FSAs)
Health Reimbursement Arrangements (HRAs)
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
EMPLOYER RESOURCES
Tools and Resources
Prescription Drug Information
Mutual Appreciation Program
Value-Based Contracting
Transparency in Coverage Compliance
Creditable Coverage
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News Category Arrow
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NEWS AND INFORMATION
Main News Feed
Recent: February 2025 Mutual News Bulletin
Recent: December 2024 Mutual News Provider Newsletter
Go to Providers Overview
POLICIES AND STANDARDS
Accessibility Standards
Clinical Practice Guidelines
Laboratory Management Policies
Medical Drug Management
Medical Necessity Criteria and Clinical Review Guidelines
Medical Policies
Prescription Drug Information
Prior Approval and Investigational Services
Reimbursement Policies
Go to Providers Overview
MEDICAL MUTUAL RESOURCES
Chronic Condition Management Program
Claims Edit System
Clinical Supply Materials
Continuity and Coordination of Care
Credentialing
Cultural Competency Resources
EFT and ERA
First tier, Downstream or Related Entities
Health Outcomes Survey Tip Sheet
Healthcare Technology Assessment
HEDIS Documentation Reference Guide
MedCommunity Resources
Medical Mutual Service Accounts
Ambulatory Surgical Classification Grouper Lists
Risk Adjustment Information
EXTERNAL RESOURCES
Behavioral Health Shared Decision-Making Tools
Optum® EDC Analyzer™
Routine Test Management Provider Webinar
The Waco Guide
Go to Providers Overview
FORMS
Acute Discharge Planning Worksheet
Electronic Claims Waiver Request
Inpatient Behavioral Health Fax Form
Inpatient Medical Fax Form
Medical Record Attestation Form
Medicare Advantage Provider FDR Attestation Form
Member Forms
Network Provider Enrollment Form
Prior Approval Form
Provider Action Request Form
Provider Information Form
Request for Medicare Prescription Drug Coverage Determination Form
Request for Redetermination of Medicare Prescription Drug Denial Form
Waiver of Liability Form
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Go to Brokers Overview
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What Makes Medical Mutual Different
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Become an Appointed Producer
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Go to About Us Overview
CORPORATE PROFILE
Mission and Vision
Subsidiaries
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Go to Community Outreach Overview
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Ambulatory Surgical Classification Grouper Lists

Current Ambulatory Surgical Classification (ASC) Grouper List effective for claims with dates of service on or after April 15, 2024.
ASC HCPCS Assignment for Claims - 2024

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

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