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Mutual News Q4 2020 Newsletter
Medical Mutual of Ohio·OH · Physical Therapy, Chiropractic, PM&R (Physical Medicine & Rehab)·Mutual News Newsletter
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Medical Mutual is implementing major changes to prior authorization processes effective January 1, 2021. Outpatient therapy and chiropractic services will now require prior authorization directly through eviCore healthcare instead of Landmark Connect, and providers can no longer submit requests via the old system.
Action Required
By January 1, 2021: Stop submitting prior authorization requests via Landmark Connect. Set up accounts with eviCore healthcare at www.evicore.com/pages/ProviderLogin for web submissions, or use phone (877-531-9139) or fax (855-774-1319) options. Attend eviCore orientation training at https://www.evicore.com/resources/healthplan/medical-mutual-of-ohio. Update workflow to obtain prior authorization from eviCore before providing outpatient therapy and chiropractic services - services without prior auth may be denied and cannot be billed to patients.