Coverage Verification

A service to our policyholders

How to fulfill requests for coverage verification

As a service to our policyholders and covered providers, Medical Mutual Insurance Company of Maine will provide coverage verifications for credentialing purposes. To request a coverage verification please submit a signed and dated release. We will accept electronic signatures executed using DocuSign electronic signature software only; no other electronic signatures will be accepted. All requests should be emailed to: and will only be returned via secure email.

  1. The required release is signed with a cursive/“wet” signature or via DocuSign and dated within the past 12 months. Signatures that are simply typed will not be accepted.
  2. All responses will be sent only via secure, encrypted email. We must have complete information for the intended recipient: Name/organization name, address, and email address. We cannot fax responses.
  3. It is helpful to provide known policy numbers when available. When requesting information for locums, students, or residents, providing the name of the Healthcare entity or school will help expedite your request.

Release Form