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Mutual News Q3 2019 Newsletter
Medical Mutual of Ohio·OH·Mutual News Newsletter
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
Medical Mutual is implementing significant changes including new prior authorization vendor (Magellan Rx Management) for specialty drugs effective Jan 1, 2020, and new Optum Claims Edit System for professional claims effective Oct 1, 2019. State of Ohio employees in Columbus and Toledo regions transitioned to Medical Mutual coverage effective July 1, 2019.
Action Required
By Jan 1, 2020: Update prior authorization processes for specialty drugs administered under medical benefit - submit requests online at IH.MagellanRx.com, by fax at 1-888-656-1948, or phone at 1-800-424-7698. By Oct 1, 2019: Test claims using Optum Claim Edit Portal available at MedMutual.com/Provider to identify potential edits. Immediately: Accept only current Medical Mutual ID cards for State of Ohio members and follow updated prior authorization guidelines.