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Medical Mutual

The provider portal for Medical Mutual is https://apps.availity.com/

Primary payer ID
29076Compare transaction IDs ↓
Last successful claim statusWithin the past 48 hoursObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271Availity ECS

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Coverage profile

How Substrate can help you with Medical Mutual

Substrate can help practices and billers with the following claims tasks for Medical Mutual.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medical Mutual.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medical Mutual.

Available

Enhanced claim status

Availity ECS
Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Medical Mutual.

Available

Appeals agent

AI appeals workflow

The Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Medical Mutual.

Available

Frequently asked questions

Medical Mutual payer FAQs

How do I check claim status with Medical Mutual?

Providers check Medical Mutual via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Medical Mutual?

The primary payer ID for Medical Mutual is 29076. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for Medical Mutual?

The provider portal for Medical Mutual is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for Medical Mutual?

The 837P and 837I payer ID for Medical Mutual is 29076 via Stedi.

What is the 835 payer ID for Medical Mutual?

The 835 payer ID for Medical Mutual is 29076 via Stedi.

What is the 270 payer ID for Medical Mutual?

The 270 payer IDs for Medical Mutual are 29076 via Stedi and 29076 via Availity.

What is the 276 payer ID for Medical Mutual?

The 276 payer IDs for Medical Mutual are 29076 via Stedi and 29076 via Availity.

What states does Medical Mutual operate in?

Medical Mutual operates in OH and WI.

Resource library

Routing reference

Medical Mutual payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Medical Mutual payer name, operating states, and transaction-specific payer IDs
Payer nameMedical Mutual
Operating statesOH, WI
837P professional claims payer IDStedi29076
837I institutional claims payer IDStedi29076
835 ERA payer IDStedi29076Enrollment required
270 eligibility payer IDStedi29076
270 eligibility payer IDAvaility29076
276 claim status payer IDStedi29076
276 claim status payer IDAvaility29076

Payer contact directory

Medical Mutual phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Eligibility / benefits phone
(800) 362-1279MEDICAL MUTUAL
Medical Mutual payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 279-6772Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • AUXIANT
Health Benefit Plan Coverage
phone(800) 362-1279Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDICAL MUTUAL
Medical Care, Pharmacy, Vision (Optometry), Medical Care, Vision (Optometry), Pharmacy, Vision (Optometry)
phone(800) 367-3762Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MUTUAL HEALTH SERVICES
Health Benefit Plan Coverage
phone+1 (800) 382-5729Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDICAL MUTUAL OF OHIO
Health Benefit Plan Coverage
phone(800) 417-1961Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS
Pharmacy
phone(800) 457-4726Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SISCO
Health Benefit Plan Coverage
phone(800) 654-9106Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDMUTUAL PROTECT
Health Benefit Plan Coverage
phone(800) 852-1091Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM
Mental Health
phone(866) 326-7811Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EMPLOYEE BENEFIT MANAGEMENT SERVICES, LLC
Health Benefit Plan Coverage
phone(877) 304-0761Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREFACTOR FKA EMPLOYEE BENEFIT MANAGEMENT CORP
Health Benefit Plan Coverage
phone(888) 876-2756Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UPMC HEALTH PLAN
Health Benefit Plan Coverage

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 10126
  • 10911
  • 14458
  • 29076
  • 31117
  • 4423
  • 9753
  • CB833
  • MMPHX
  • MMUTOH
  • SX057
  • SX057MA
  • TLU03
  • TNXLZ
  • TSTMED
  • Consumer's Life
  • Medical Mutual of Ohio
  • MUTUAL MEDICAL
  • MUTMED