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WebbThese forms are for non-contracting providers or providers outside of Ohio (including Cigna). Inpatient Medical Fax Form – Used when Medical Mutual members are admitted to an inpatient facility. Inpatient Behavioral Health Fax Form – Used when Medical Mutual members are admitted to an inpatient facility for behavioral health. WebbWith a wide variety of pediatric, adult, and total family doctors, we have the right primary health care provider for every member of your family. Finding a great primary care physician in the Central Ohio area can be fast and … dst carpeted flooring