CommercialAdministrativeHigh impact
Medical Mutual Transitioning from MedCommunity to Cohere Health for Inpatient Requests
Medical Mutual of Ohio·In the News
We identified it
Sep 9, 2026
Summary
Medical Mutual is transitioning inpatient prior authorization requests from MedCommunity to Cohere Health's web-based portal beginning early/mid-December 2026. Outpatient submissions through Cohere remain unchanged. Contracted providers must register with Cohere Health if not already registered and submit all inpatient acute, post-acute, and behavioral health authorization requests through the new portal starting on the transition date.
Action Required
By early/mid-December 2026: (1) Billing team and authorization staff must register with Cohere Health at https://coherehealth.com/register if not already registered. (2) Update all internal workflows and authorization submission procedures to route inpatient acute, post-acute, and behavioral health prior authorization requests to Cohere Health's portal instead of MedCommunity. (3) Train all staff responsible for submitting inpatient authorizations on the new Cohere portal process. (4) Establish process to monitor real-time authorization status updates in Cohere portal. (5) Maintain access to MedCommunity for checking status of previously submitted inpatient requests. (6) Verify the exact transition date and training materials through future communications from Medical Mutual and Cohere Health. Failure to transition to Cohere Health by the deadline will result in delays in inpatient authorization processing for Medical Mutual patients.