Behavioral Health Prior Approval
1-800-258-3186
Care Authorizations
1-800-294-8402
Care Management
1-800-338-4114
Case Management
1-800-258-3175, option 3
Clinical Drug Management
1-866-620-4027
Clinical Quality Improvement
1-800-586-4523
Coordination of Benefits
1-800-782-5869
Chronic Condition Management
1-800-590-2583
EFT Enrollment / One Inc.
1-877-313-4898
Electronic Claims
Use Availity (registration required) for eligibility, benefits, and claim status.
If unavailable or additional information is needed, contact Customer Care at 1‑800‑362‑1279 (Mon–Fri, 8:00 AM–5:00 PM ET; 24‑hour IVR).
Use EDISupport@MedMutual.com (Payer ID 29076) only for EDI setup, trading partner technical support, or file issues.
Utilizing the appropriate channel helps ensure timely processing and faster resolution of requests.
Eligibility, Benefits & Claims Inquiries Provider Inquiry Unit or MedMutual VoiceConnect® for Providers
(24-hour Voice Response System): 1-800-362-1279
Customer Care Hours: Monday – Friday: 8:00 AM - 5:00 PM ET
Pharmacy Benefits
Express Scripts® Coverage Management
1-800-753-2851
Express Scripts® Prescriber Service Center
1-800-211-1456
Technical Support
If you are having technical problems with our website, please call the Help Desk at 1-800-218-2205.
