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INSURER FILING GUIDE

Medical Mutual of Ohio

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

Get the skill

AT A GLANCE

Claim facts

Member form

Medical Claim Form

Number: C7820-COR

Revision: R9.26

Open the insurer form
Portal uploadYES
Portal pathLog in to My Health Plan; the public form does not publish the exact claim-upload menu path
Mail addressMedical Mutual, P.O. Box 6018, Cleveland, OH 44101-1018
FaxNot published by the insurer
AttachmentsDiagnosis; procedure; date of service; charge; provider or facility name; provider or facility address; provider Federal Tax ID; treating provider service NPI; billing NPI
DeadlineIn most cases 365 days
Outcome and statusMy Health Plan account page shows claim status and EOBs
Processing timeNot published by the insurer
CaveatsUse a separate claim form for each provider; HMO and EPO products generally exclude nonemergency out-of-network care; Medicare Advantage and Medicaid are outside this row

STEP BY STEP

Filing steps

Source: https://www.medmutual.com/-/media/MedMutual/Files/IndividualsFamilies/Member/013114-Medical-Claim-Form.pdf

Read date: 10-09-2026

Research steps

  1. Save Medical Claim Form C7820-COR before filling it out. Use a separate form for each provider. Medical Claim Form
  2. Complete sections 1 through 6. The form has no member or provider signature field. Medical Claim Form
  3. Attach the provider's itemized bills and copies of receipts. The form says the claim cannot be processed without the listed provider information. Medical Claim Form
  4. Log in to My Health Plan and submit the completed form with itemized bills or receipts. Portal upload YES, but the exact menu path, file types, size, file count, document grouping, and confirmation are NOT PUBLISHED. Medical Claim Form
  5. In most cases, submit within 365 days, but check the Certificate or Benefit Book because the limit can vary. Use the My Health Plan account page for claim status and EOBs. Transparency in Qualified Health Coverage My Health Plan overview

Filing facts

  • Portal upload: YES
  • Portal: My Health Plan
  • Portal path: Log in to My Health Plan; the public form does not publish the exact claim-upload menu path
  • Mail address: Medical Mutual, P.O. Box 6018, Cleveland, OH 44101-1018
  • Fax: NOT PUBLISHED
  • Attach: Diagnosis; procedure; date of service; charge; provider or facility name; provider or facility address; provider Federal Tax ID; treating provider service NPI; billing NPI
  • File types: NOT PUBLISHED
  • File size limit: NOT PUBLISHED
  • Maximum files: NOT PUBLISHED
  • One file or separate files: NOT PUBLISHED
  • Confirmation: NOT PUBLISHED
  • Status check: My Health Plan account page shows claim status and EOBs
  • Processing time: NOT PUBLISHED
  • Member deadline: In most cases 365 days
  • Deadline basis: The Certificate or Benefit Book controls and may vary
  • Mental health route: NOT PUBLISHED: no separate behavioral member claim route found

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://www.medmutual.com/-/media/MedMutual/Files/IndividualsFamilies/Member/013114-Medical-Claim-Form.pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.