CommercialPrior AuthMedium impact
Mutual News Q1 2023 Newsletter
Medical Mutual of Ohio·Endocrinology, Family Medicine, Internal Medicine +1 more·Mutual News Newsletter
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Medical Mutual has updated key contact information, changed their notice address to Brooklyn, OH effective May 1, 2023, and will require prior authorization for insulin pump devices (HCPCS E0784, E0787, S1034) starting July 1, 2023 for commercial plans.
Action Required
Before July 1, 2023: Billing team must update systems to require prior authorization for HCPCS codes E0784, E0787, and S1034 for commercial Medical Mutual plans. Review medical necessity criteria in Diabetes Management Corporate Medical Policy CMP200117. Update provider contracting contact number to 1-800-625-2583. Change Medical Mutual notice address to 100 American Road, Brooklyn, OH 44144 for all contract notices.