Coverage policy updates

Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 2026. Changes appear here after Backwork reviews and applies a refresh, so this page can trail the payers’ own sites.

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Recorded changes

86,510 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
May 25, 2026	UnitedHealthcare	Briumvi (Ublituximab-Xiiy) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-BRIUMVI-CS	New policy
May 25, 2026	UnitedHealthcare	Brineura (Cerliponase Alfa) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-BRINEURA-CERLIPONASE-ALFA-CS	New policy
May 25, 2026	UnitedHealthcare	Breast Reduction SurgeryPayerPolicy · UHC-COMM-MD-BREAST-REDUCTION-SURGERY-CS	New policy
May 25, 2026	UnitedHealthcare	Breast ReconstructionPayerPolicy · UHC-COMM-MD-BREAST-RECONSTRUCTION-CS	New policy
May 25, 2026	UnitedHealthcare	Breast Imaging for Screening and Diagnosing CancerPayerPolicy · UHC-COMM-MD-BREAST-IMAGING-SCREENING-DIAGNOSING-CANCER-CS	New policy
May 25, 2026	UnitedHealthcare	Botulinum Toxins A and B – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-BOTULINUM-TOXINS-A-AND-B-CS	New policy
May 25, 2026	UnitedHealthcare	Benlysta (Belimumab) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-BENLYSTA-BELIMUMAB-CS	New policy
May 25, 2026	UnitedHealthcare	Beds and MattressesPayerPolicy · UHC-COMM-MD-BEDS-MATTRESSES-CS	New policy
May 25, 2026	UnitedHealthcare	Bariatric SurgeryPayerPolicy · UHC-COMM-MD-BARIATRIC-SURGERY-CS	New policy
May 25, 2026	UnitedHealthcare	Autologous Cellular TherapyPayerPolicy · UHC-COMM-MD-AUTOLOGOUS-CELLULAR-THERAPY-CS	New policy
May 25, 2026	UnitedHealthcare	ApheresisPayerPolicy · UHC-COMM-MD-APHERESIS-CS	New policy
May 25, 2026	UnitedHealthcare	Antiemetics for Oncology – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ANTIEMETICS-ONCOLOGY-CS	New policy
May 25, 2026	UnitedHealthcare	Amondys 45 (Casimersen) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-AMONDYS-CS	New policy
May 25, 2026	UnitedHealthcare	Ambulance ServicesPayerPolicy · UHC-COMM-MD-AMBULANCE-SERVICES-CS	New policy
May 25, 2026	UnitedHealthcare	Alpha1-Proteinase Inhibitors – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ALPHA1-PROTEINASE-INHIBITORS-CS	New policy
May 25, 2026	UnitedHealthcare	Airway Clearance DevicesPayerPolicy · UHC-COMM-MD-AIRWAY-CLEARANCE-DEVICES-CS	New policy
May 25, 2026	UnitedHealthcare	Adzynma (ADAMTS13, Recombinant-Krhn) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ADZYNMA-CS	New policy
May 25, 2026	UnitedHealthcare	Adakveo (Crizanlizumab-Tmca) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ADAKVEO-CRIZANLIZUMAB-TMCA-CS	New policy
May 25, 2026	UnitedHealthcare	Abnormal Uterine Bleeding and Uterine FibroidsPayerPolicy · UHC-COMM-MD-ABNORMAL-UTERINE-BLEEDING-UTERINE-FIBROIDS-CS	New policy
May 25, 2026	UnitedHealthcare	Ablative Treatment for Spinal PainPayerPolicy · UHC-COMM-MD-ABLATIVE-TREATMENT-SPINAL-PAIN-CS	New policy
May 25, 2026	UnitedHealthcare	Wrong Surgical or Other Invasive Procedures Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-WRONG-SURGICAL-OR-OTHER-INVASIVE-PROCEDURES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Vitamin D Testing Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IEX-VITAMIN-D-TESTING-PRO-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Urgent CarePayerPolicy · UHC-EXCH-RP-COMM-URGENT-CARE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Time Span Codes Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-TIME-SPAN-CODES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Telehealth/Virtual Health Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-TELEHEALTH-AND-TELEMEDICINE-POLICY	New policy
May 25, 2026	UnitedHealthcare	TelehealthPayerPolicy · UHC-EXCH-RP-COMM-TELEHEALTH-POLICY-FACILITY	New policy
May 25, 2026	UnitedHealthcare	T Status CodesPayerPolicy · UHC-EXCH-RP-COMM-T-STATUS-CODES-POLICY	New policy
May 25, 2026	UnitedHealthcare	SupplyPayerPolicy · UHC-EXCH-RP-COMM-SUPPLY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Standby ServicesPayerPolicy · UHC-EXCH-RP-COMM-STANDBY-SERVICES-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Split Surgical PackagePayerPolicy · UHC-EXCH-RP-COMM-SPLIT-SURGICAL-PACKAGE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Services Incident-to a Supervising Health Care ProviderPayerPolicy · UHC-EXCH-RP-COMM-SERVICES-INCIDENT-TO-A-SUPERVISING-HEALTH-CARE-PROVIDER-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Services by Residents, Interns and Medical StudentsPayerPolicy · UHC-EXCH-RP-COMM-SERVICES-BY-RESIDENTS-INTERNS-MEDICAL-STUDENTS-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Services and Modifiers Not Reimbursable to Healthcare Professionals, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-SERVICES-MODIFIERS-NOT-REIMBURSABLE-HEALTHCARE-PROFESSIONALS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Same Day / Same ServicePayerPolicy · UHC-EXCH-RP-COMM-SAME-DAY-SERVICE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Robotic Assisted SurgeryPayerPolicy · UHC-EXCH-RP-COMM-ROBOTIC-ASSISTED-SURGERY-POLICY-PROFESSIONAL	New policy
May 25, 2026	UnitedHealthcare	Replacement CodesPayerPolicy · UHC-EXCH-RP-COMM-REPLACEMENT-CODES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Rebundling Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-REBUNDLING-POLICY	New policy
May 25, 2026	UnitedHealthcare	Radiation Therapy Planning, Dosimetry, Simulation/Devices and Management Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-IEX-RTP-D-SDM-POLICY-PRO-FACILITY	New policy
May 25, 2026	UnitedHealthcare	Provider Preventable Conditions: Healthcare Acquired Conditions and Present on Admission Policy, Facility - UnitedHealthcare Individual ExchangePayerPolicy · UHC-EXCH-RP-VB-HEALTH-CARE-AQUIRED-CONDITIONS-AND-PRESENT-ON-ADMISSION-POLICY-FACILITY-EXCHANGE	New policy
May 25, 2026	UnitedHealthcare	Prostate Biopsy Specimen Analysis Policy, Professional and FacilityPayerPolicy · UHC-EXCH-RP-COMM-PROSTATE-BIOPSY-SPECIMEN-ANALYSIS-POLICY	New policy
May 25, 2026	UnitedHealthcare	Prolonged ServicesPayerPolicy · UHC-EXCH-RP-COMM-PROLONGED-SERVICES-POLICY	New policy
May 25, 2026	UnitedHealthcare	Professional/Technical ComponentPayerPolicy · UHC-EXCH-RP-COMM-PROFESSIONAL-TECHNICAL-COMPONENT-POLICY	New policy
May 25, 2026	UnitedHealthcare	Procedure to Modifier Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-PROCEDURE-TO-MODIFIER-POLICY	New policy
May 25, 2026	UnitedHealthcare	Procedure and Place of ServicePayerPolicy · UHC-EXCH-RP-COMM-PROCEDURE-AND-PLACE-OF-SERVICE-POLICY	New policy
May 25, 2026	UnitedHealthcare	Preventive Medicine and ScreeningPayerPolicy · UHC-EXCH-RP-COMM-PREVENTIVE-MEDICINE-AND-SCREENING-POLICY	New policy
May 25, 2026	UnitedHealthcare	Physical Medicine & Rehabilitation: Speech Therapy Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-PHYSICAL-MED-REHAB-SPEECH-THERAPY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Physical Medicine & Rehabilitation: PT, OT and Evaluation and Management Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-PHYSICAL-MED-REHAB-PT-OT-EVAL-MGMT-POLICY	New policy
May 25, 2026	UnitedHealthcare	Physical Medicine & Rehabilitation: Multiple Therapy Procedure ReductionPayerPolicy · UHC-EXCH-RP-COMM-PHYSICAL-MED-REHAB-MULTIPLE-THERAPY-PROCEDURE-REDUCTION-POLICY	New policy
May 25, 2026	UnitedHealthcare	Physical Medicine & Rehabilitation: Maximum Combined Frequency per DayPayerPolicy · UHC-EXCH-RP-COMM-PHYSICAL-MED-REHAB-MAX-COMBINED-FREQUENCY-PER-DAY-POLICY	New policy
May 25, 2026	UnitedHealthcare	Pediatric and Neonatal Critical and Intensive Care Services Policy, ProfessionalPayerPolicy · UHC-EXCH-RP-COMM-PEDIATRIC-NEONATAL-CRITICAL-INTENSIVE-CARE-SVCS-POLICY-PROFESSIONAL	New policy