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MedMutual Protect fax number

(405) 254-2111

Provider Relations

Used for: Submitting non-claim correspondence and provider-related forms, including the First Health Research and Resolution Form (FH-Rf) and the Provider Claim Inquiry Form (Prov-Inq-W).

Fax destination details

Department
Provider Relations
Purpose
Submitting non-claim correspondence and provider-related forms, including the First Health Research and Resolution Form (FH-Rf) and the Provider Claim Inquiry Form (Prov-Inq-W).
Form
FH-Rf — First Health Research and Resolution Form
Address
615 E Britton Rd, Oklahoma City, OK 73114; Mailing: P.O. Box 26620, Oklahoma City, OK 73126-9958
Voice phone
1-800-654-9106

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill in provider and patient details, attach supporting documentation, and submit via fax to 405-254-2111 or by mail to the address on the form’s instructions.

Official form instructions are published as a downloadable file on the organization's website.

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