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Prior Authorization Requirements List - Medical …

    https://www.medmutual.com/~/media/21F56195574D4A8CB48F120BC9BE2927.ashx
    Prior Authorization Requirements List 1 X9158-CMT R1/23 (Revised January 2023) Services Requiring Prior Authorization (Revised January 2023) Please note: The terms prior authorization, prior approval, predetermination, advance notice, precertification, …

Prior Approval and Investigational Services - Medical …

    https://www.medmutual.com/For-Providers/Prior-Approval-and-Investigational-Services
    To request prior authorization, access the eviCore web portal and build a case. Prior authorizations will be accepted 24 hours a day, seven days a week, excluding planned …

Healthcare Providers | Medical Mutual

    https://www.medmutual.com/For-Providers.aspx
    Medical Mutual providers, find the tools, resources, contact information and more that you need to help care for your Medical Mutual patients here. ... Therapy Authorization …

Drugs That May Require Prior Authorization | Medical …

    https://www.medmutual.com/For-Providers/Prior-Authorization
    Drugs That May Require Prior Authorization. Click on the Drug Class to see the Criteria In Use by Medical Mutual for coverage approval. Atomoxetine, Clonidine ER, Guanfacine …

Prescription Drug Resources | Medical Mutual

    https://www.medmutual.com/For-Providers/Prescription-Drug-Resources
    Prior Authorization. The Medical Mutual plan requires that some medications be preapproved or receive “prior authorization” for coverage. Coverage Review Process. If …

Medicare Advantage Prior Authorization …

    https://www.medmutual.com/-/media/MedMutual/Files/Providers/PriorApprovalList_MA.pdf
    Please note: The terms prior authorization, prior approval, predetermination, advance notice, precertification, preauthorization and prior notification all refer to the same …

Medicare Advantage Prior Authorization Requirements List

    https://www.mutualhealthservices.com/-/media/MedMutual/Files/Providers/PriorApprovalList_MA.pdf
    Medicare Advantage Prior Authorization Requirements List X9601-MCA R8/22 (Revised August 2022) Revised August 2022 Please note: The terms prior authorization, prior …

Prior Authorization Requirements List

    https://stateofohio.medmutual.com/-/media/MedMutual/Files/Providers/PriorApprovalList_Commercial.pdf
    Prior Authorization Requirements List 2 X9158-CMT R1/23 (Revised January 2023) CATEGORY DETAILS SUBMIT TO (PROVIDER USE ONLY) Inpatient Services …

Prior Authorization Requirements List - Mutual Health Services

    https://www.mutualhealthservices.com/-/media/MedMutual/Files/Providers/PriorApprovalList_Commercial.ashx
    Prior Authorization Requirements List 1 X9158-CMT R1/23 (Revised January 2023) Services Requiring Prior Authorization (Revised January 2023) Please note: The terms …

Medicare Advantage Prior Authorization …

    https://stateofohio.medmutual.com/-/media/MedMutual/Files/Providers/PriorApprovalList_MA.pdf
    Medicare Advantage Prior Authorization Requirements List X9601-MCA R1/23 (Revised January 2023) CATEGORY DETAILS SUBMIT TO (PROVIDER USE ONLY) …



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