claims
Paper claims and claim adjustment/coding review requests
No phone listed for this route
Fax405-254-2124
Claim appeals with Claim Adjustment/Coding Review Request form
Published emailParamount.Docflow@medmutual.com
Published hoursNot published in this record
commercial · medicare advantage · exchange
Ohio
Paper claims and claim appeals
Paper CMS-1500 (02-12)/UB-04 red-ink forms only (no photocopies/faxed claims) to P.O. Box 497. Claim appeals/adjustment requests with the Claim Adjustment/Coding Review Request form by mail, fax or email; adjustment requests within 180 days of the original notice. Electronic claims via clearinghouse or MyParamount TransShuttle.
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