All PlansReimbursementMedium impact
Mutual News Q3 2018 Newsletter
Medical Mutual of Ohio·OH·Mutual News Newsletter
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Medical Mutual's updated network fee schedule will be available October 1, 2018, with revisions effective January 1, 2019. Most significantly, rural and non-rural rate differentials will be applied to DME claims based on member address, following CMS processing standards.
Action Required
By October 1, 2018: Access the updated fee schedule via Medical Mutual's Provider Portal at Provider.MedMutual.com. Before January 1, 2019: Update billing procedures to account for rural/non-rural rate differentials on DME claims based on member addresses. Review contracted rates using the Portal's search features by NPI and TIN.