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CommercialPrior AuthHigh impact

Medical Mutual Working with Cohere Health and the Rhyme LiveAuth™ Network to Enhance and Streamline our Prior Authorization Process

Medical Mutual of Ohio·Prior Authorization
Effective date
Mar 25, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Medical Mutual is transitioning prior authorization submissions for outpatient and investigational services to Cohere Health's portal and Rhyme network effective March 25, 2024. Providers must register for new portals and can no longer use NaviNet for new prior auth requests after this date.

Action Required

Action needed
By March 25, 2024: Billing team must register for Cohere Health portal at https://coherehealth.com/register if not already registered. Submit all outpatient and investigational/experimental prior authorization requests through Cohere Health portal (https://login.coherehealth.com) or Rhyme application. For diagnostic radiology/imaging, use Rhyme's EMR application or eviCore. Stop using NaviNet for new prior auth submissions. Continue using MedCommunity for inpatient prior authorizations. Review updated prior authorization list at www.medmutual.com/PAL2024.