Provider Online Services

Provider Portal

Via the Mutual Medical Plans, Inc. Provider Portal, providers have online access to check their patients' eligibility, benefits and claim payment status.

With this tool, providers can view:

  • Patient coverage details including start and end dates, products (medical, dental, vision), etc.
  • Plan benefit descriptions
  • Current year deductible / out of pocket balances
  • Claim processing status
  • Answers to Frequently Asked Questions (FAQs)
  • And more!

Registration is easy, requiring several pieces of provider practice information along with an email verification step.

 

For technical support with registration issues, click on 'Contact Us' above and complete the Technical Support request form. Due to Federal privacy regulations, Mutual Medical Plans cannot respond to membership, claim or benefit inquiries submitted via email. Any such requests will be immediately deleted.


HIPAA EDI Transactions

Electronic eligibility and claim status inquiries for Plans administered by Mutual Medical Plans are available via Passport OneSource. Web-based inquiries are supported as well as the 270/271 (eligibility) and 276/277 (claim status) transaction sets.

Existing Passport OneSource users must requrest access to the Mutual Medical Plans payer data. Log into the Passport OneSource website to request access to a payer or contact Passport at 866-854-6796 for support.

Payers who do not currently utilize Passport OneSource can obtain details via their website. For additional details click on the "Contact Sales" button or call Passport at 888-661-5657.

Click for detailed answers to FREQUENTLY ASKED QUESTIONS regarding these provider services.


IMPORTANT: This website is for the use of HEALTH CARE PROVIDERS ONLY and for the sole purpose of accessing protected health information of group health plans for which claims processing services are provided by Mutual Medical Plans, Inc. for treatment, payment, or healthcare operations of the health care provider and/or the applicable group health plan. No other individuals or entities may access this website or the information contained therein. The Health Insurance Portability and Accountability Act and related applicable Federal and State laws impose potentially heavy criminal and civil sanctions for theft or misuse of protected health information contained on this website.

© 2017 Mutual Medical Plans, Inc. All Rights Reserved.