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Medical Mutual Implementing a New Laboratory Management Program Effective July 1, 2024
Medical Mutual of Ohio·In the News
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Medical Mutual is implementing a new Laboratory Management Program effective July 1, 2024, partnering with Avalon Healthcare Solutions to provide automated review of high-volume, low-cost routine laboratory tests. The program includes new and revised laboratory policies that will impact certain lab services, tests and procedures performed in office, hospital outpatient, and independent laboratory settings.
Action Required
By July 1, 2024: Billing team must review new Reimbursement Policy RP-202407 at MedMutual.com/Provider under Policies and Standards > Reimbursement Policies. Review all revised laboratory policies at MedMutual.com/LabPolicies to understand changes to lab service coverage and requirements. Update billing procedures for routine laboratory tests performed in office, hospital outpatient, and independent lab settings to comply with new automated review requirements. Contact Provider Contracting Manager at 1-800-625-2583 with questions.