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PROVIDER ACTION REQUEST FORM INSTRUCTIONS Providers may request corrective adjustments to any previous payment using the Provider Action Request PAR Form and Medical Mutual Company may make such adjustments as necessary and appropriate. Mail completed PAR Forms to Medical Mutual PO Box 94917 Cleveland Ohio 44101-4917 Provider Information Fill in the defined fields the provider and tax identification number contact person and telephone number and .

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Mutual Health Services is a full-service third-party administrator that offers custom health insurance options to employers. As a wholly owned, independent subsidiary of Medical Mutual of Ohio, we offer many distinct advantages over our competition.

Effective Jan. 1, 2019, Medical Mutual entered into an agreement with AXA Assistance USA, Inc. (an international third-party administrator) that gives our members access to the Aetna® Open Choice® PPO Network outside of our SuperMed® PPO service area. ... Aetna® is a trademark of Aetna Inc.

Medmutual.com. Medical Mutual of Ohio (MMOH) is an American mutual health insurance company. It is the oldest and largest health insurance company based in Cleveland, Ohio, and serves more than 1.6 million customers. Employing 2,500 people, Medical Mutual is one of the biggest employers in downtown Cleveland.

Over-the-counter contraceptives include female condoms (not male condoms), sponges, spermicides and the Plan B ( morning after ) pill. A member must get a prescription for these over-the-counter contraceptives to receive 100 percent coverage. 5.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232