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  1. www.mutualofomaha.com › provider-accessMutual of Omaha

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  2. Please select below your reason for completing this form: * I want to become an EAP contracted provider. I am completing for annual update and/or EAP re-credentialing. I am adding a mental health clinician to an existing contracted EAP group practice.

  3. Access and download various customer documents, such as claim forms, policy updates, and enrollment forms, from Mutual of Omaha.

  4. Review Medicare Prescription Drug Plan resources such as drug formularies, claim and enrollment forms, evidence of coverage and more from Mutual of Omaha.

  5. mutualofomaha.com; Contact Us; Privacy Policy; Terms of Use © 2024 Mutual of Omaha Insurance Company. All rights reserved.

  6. Send your completed and signed form to: Mutual of Omaha Rx P.O. Box 3625 Scranton, PA 18505. How do I get help with this form? Call Mutual of Omaha Rx at 1.800.961.9006. (TTY users, call 1.800.584.6939). Or, call Medicare at 1.800.MEDICARE (1.800.633.4227). TTY users, call 1.877.486.2048.

  7. Provider Access allows health care providers to access information on patient eligibility and benefits, as well as claim status detail.

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