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Mutual News March 2020 Bulletin
Medical Mutual of Ohio·OH·Mutual News Bulletin
Effective date
Apr 1, 2020
We identified it
Jun 20, 2026
Summary
Medical Mutual is implementing several changes effective April 1, 2020: prior authorization requests must be submitted 48-72 hours in advance (previously no specific timeframe), inpatient admissions require medical necessity review within 24 hours, and new telemedicine and obstetrical care reimbursement policies are being introduced. Additionally, the company is updating contact addresses and phone numbers.
Action Required
By April 1, 2020: Billing team must update workflow to submit all prior authorization requests 48-72 hours before scheduled services (failure to comply may result in claim rejection). For inpatient admissions, ensure medical necessity reviews are submitted within 24 hours after admission (except routine obstetrical). Update contact information for Medical Mutual including new notice address (2060 East Ninth Street, Cleveland, OH 44115) and new Toledo office phone numbers. Review new telemedicine and obstetrical care reimbursement policies on provider portal.