CommercialReimbursementHigh impact
Mutual News August 2023 Bulletin
Medical Mutual of Ohio·OH·Mutual News Bulletin
Effective date
Dec 1, 2023
We identified it
Jun 20, 2026
Summary
Medical Mutual is updating their network fee schedule effective December 1, 2023, with new quarterly updates for J-codes and radiological materials, and semi-annual updates for immunizations. A new Replacement Claims Reimbursement Policy takes effect September 15, 2023.
Action Required
By September 1, 2023: Billing team must access the updated Medical Mutual fee schedule via Provider Portal at MedMutual.com/Provider. By September 15, 2023: Review new Replacement Claims Reimbursement Policy (RP-202304) and update billing procedures accordingly. Going forward: Monitor quarterly fee updates for J-codes and radiological materials (effective Jan 1, Apr 1, Jul 1, Oct 1) and semi-annual immunization fee updates (Jan 1, Jul 1, plus Aug 1 for flu vaccines).