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? Click here to register.

Prior Approvals

• Commercial and Medicare Advantage Prior Approval CPT/HCPCS Code List
• Prior approval information for medical drug, PT/OT/ST/chiropractic treatment, transplant, outpatient radiology and radiation/oncology services can be found in the appropriate list below:
  • Individual and Family Plans (Commercial Plans)
  • Medicare Advantage Plans
• Corporate Medical Policies

Inpatient Admittance Forms

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

• 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