CommercialPrior AuthHigh impact
Mutual News Q4 2021 Newsletter
Medical Mutual of Ohio·OH · Oncology, Radiology·Mutual News Newsletter
Effective date
Feb 1, 2022
We identified it
Jun 20, 2026
Summary
Medical Mutual is transitioning radiation oncology prior authorization management to eviCore healthcare effective February 1, 2022. Providers must use eviCore's portal or phone system for all radiation oncology prior authorizations, with expanded services now requiring prior auth and strict 15-day deadlines for retro-authorizations.
Action Required
By January 17, 2022: Register for eviCore portal at https://evicore.com/Pages/ProviderLogin.aspx for radiation oncology prior authorizations. Update workflow to contact eviCore at 1-888-693-3211 or fax 1-866-699-8160 for all radiation oncology services starting Feb 1, 2022. Train staff on 15-day deadline for retro-authorizations when treatment plans change or services are performed outside authorization timeframes. Claims will be rejected without proper eviCore authorization.