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	RNA-Targeted Therapies (Amvuttra and Onpattro) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RNA-TARGETED-THERAPIES-AMVUTTRA-AND-ONPA-B929CC5828	New policy
May 25, 2026	UnitedHealthcare	Rituximab (Riabni, Rituxan, Ruxience, & Truxima) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RITUXAN-RITUXIMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	Rhinoplasty and Other Nasal ProceduresPayerPolicy · UHC-EXCH-MD-RHINOPLASTY-OTHER-NASAL-SURGERIES	New policy
May 25, 2026	UnitedHealthcare	Review at Launch for New to Market Medications – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-REVIEW-AT-LAUNCH-NEW-TO-MARKET-MEDICATIONS-IEX	New policy
May 25, 2026	UnitedHealthcare	Respiratory Pathogen Nucleic Acid Detection TestingPayerPolicy · UHC-EXCH-MD-RESPIRATORY-PATHOGEN-NUCELEIC-ACID	New policy
May 25, 2026	UnitedHealthcare	Respiratory Interleukins (Cinqair, Fasenra, & Nucala) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RESPIRATORY-INTERLEUKINS-IEX	New policy
May 25, 2026	UnitedHealthcare	Repository Corticotropin Injections – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-REPOSITORY-CORTICOTROPIN-INJECTION-ACTHAR-GEL-IEX	New policy
May 25, 2026	UnitedHealthcare	Rebyota (Fecal Microbiota, Live-Jslm) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-REBYOTA-IEX	New policy
May 25, 2026	UnitedHealthcare	Reblozyl (Luspatercept-Aamt) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-REBLOZYL-LUSPATERCEPT-AAMT-INDIVIDUAL-EX-6BA77805CF	New policy
May 25, 2026	UnitedHealthcare	Radiation Therapy: Fractionation, Image-Guidance, and Special ServicesPayerPolicy · UHC-EXCH-MD-RADIATION-THERAPY-FRACTIONATION-IMAGE-SPECIAL-SERVICES	New policy
May 25, 2026	UnitedHealthcare	Qalsody (Tofersen) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-QALSODY	New policy
May 25, 2026	UnitedHealthcare	Proton Beam Radiation TherapyPayerPolicy · UHC-EXCH-MD-PROTON-BEAM-RADIATION-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Prostate Surgeries and InterventionsPayerPolicy · UHC-EXCH-MD-PROSTATE-SURGERY	New policy
May 25, 2026	UnitedHealthcare	Prolotherapy and Platelet Rich Plasma TherapiesPayerPolicy · UHC-EXCH-MD-PROLOTHERAPY-PLATELET-RICH-PLASMA-THERAPIES	New policy
May 25, 2026	UnitedHealthcare	Private Duty Nursing ServicesPayerPolicy · UHC-EXCH-MD-PRIVATE-DUTY-NURSING-SERVICES	New policy
May 25, 2026	UnitedHealthcare	Preventive Vaccines (Immunizations) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-VACCINES	New policy
May 25, 2026	UnitedHealthcare	Preventive Care ServicesPayerPolicy · UHC-EXCH-MD-PREVENTIVE-CARE-SERVICES	New policy
May 25, 2026	UnitedHealthcare	Preimplantation Genetic Testing and Related ServicesPayerPolicy · UHC-EXCH-MD-PREIMPLANTATION-GENETIC-TESTING	New policy
May 25, 2026	UnitedHealthcare	Pneumatic Compression DevicesPayerPolicy · UHC-EXCH-MD-PNEUMATIC-COMPRESSION-DEVICES	New policy
May 25, 2026	UnitedHealthcare	Plagiocephaly and Craniosynostosis TreatmentPayerPolicy · UHC-EXCH-MD-PLAGIOCEPHALY-CRANIOSYNOSTOSIS-TREATMENT	New policy
May 25, 2026	UnitedHealthcare	Pharmacogenetic Panel TestingPayerPolicy · UHC-EXCH-MD-PHARMACOGENETIC-TESTING	New policy
May 25, 2026	UnitedHealthcare	Percutaneous Vertebroplasty and KyphoplastyPayerPolicy · UHC-EXCH-MD-PERCUTANEOUS-VERTEBROPLASTY-KYPHOPLASTY	New policy
May 25, 2026	UnitedHealthcare	Percutaneous Patent Foramen Ovale (PFO) ClosurePayerPolicy · UHC-EXCH-MD-PERCUTANEOUS-PATENT-FORAMEN-OVALE-CLOSURE	New policy
May 25, 2026	UnitedHealthcare	Percutaneous Neuroablation for Pancreatic Cancer Pain, Severe Cancer Pain, and Trigeminal NeuralgiaPayerPolicy · UHC-EXCH-MD-PERCUTANEOUS-NEUROABLATION-CANCER-PAIN-TRIGEMINAL-NEURALGIA	New policy
May 25, 2026	UnitedHealthcare	Parsabiv (Etelcalcetide) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-PARSABIV-ETELCALCETIDE	New policy
May 25, 2026	UnitedHealthcare	Papzimeos (Zopapogene Imadenovec-Drba) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-PAPZIMEOS	New policy
May 25, 2026	UnitedHealthcare	Panniculectomy SurgeryPayerPolicy · UHC-EXCH-MD-PANNICULECTOMY-BODY-CONTOURING-PROCEDURES	New policy
May 25, 2026	UnitedHealthcare	Oxlumo (Lumasiran) and Rivfloza (Nedosiran) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OXLUMO-LUMASIRAN-AND-RIVFLOZA-NEDOSIRAN-B0A69D11C0	New policy
May 25, 2026	UnitedHealthcare	Outpatient Surgical Procedures – Site of ServicePayerPolicy · UHC-EXCH-MD-OUTPATIENT-SURG-PROCEDURES-SITE-SERVICE	New policy
May 25, 2026	UnitedHealthcare	Orthognathic (Jaw) SurgeryPayerPolicy · UHC-EXCH-MD-ORTHOGNATHIC-JAW-SURGERY	New policy
May 25, 2026	UnitedHealthcare	Orencia (Abatacept) Injection for Intravenous Infusion – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ORENCIA-ABATACEPT-INJECTION-FOR-INTRAVEN-FFB386045D	New policy
May 25, 2026	UnitedHealthcare	Ophthalmologic Vascular Endothelial Growth Factor (VEGF) Inhibitors – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OPHTHALMOLOGIC-VEGF-INHIBITORS-IEX	New policy
May 25, 2026	UnitedHealthcare	Ophthalmologic Complement Inhibitors – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OPHTHALMOLOGIC-COMPLEMENT-INHIBITORS-IEX	New policy
May 25, 2026	UnitedHealthcare	Oncology Medication Clinical Coverage – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ONCOLOGY-MEDICATION-CLINICAL-COVERAGE-IN-868B8040BF	New policy
May 25, 2026	UnitedHealthcare	Omvoh (Mirikizumab-Mrkz) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OMVOH	New policy
May 25, 2026	UnitedHealthcare	Omnibus CodesPayerPolicy · UHC-EXCH-MD-OMNIBUS-CODES	New policy
May 25, 2026	UnitedHealthcare	Office-Based Procedures – Site of ServicePayerPolicy · UHC-EXCH-MD-OFFICE-BASED-PROCEDURES-SITE-SERVICE	New policy
May 25, 2026	UnitedHealthcare	Off-Label/Unproven Specialty Drug Treatment – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OFF-LABEL-UNPROVEN-SPECIALTY-DRUG-TREATM-48D22CC433	New policy
May 25, 2026	UnitedHealthcare	Ocular PhotoscreeningPayerPolicy · UHC-EXCH-MD-OCULAR-PHOTOSCREENING	New policy
May 25, 2026	UnitedHealthcare	Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OCREVUS-OCRELIZUMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)PayerPolicy · UHC-EXCH-MD-OCCIPITAL-NEURALGIA-HEADACHE-TREATMENT	New policy
May 25, 2026	UnitedHealthcare	Obstructive and Central Sleep Apnea TreatmentPayerPolicy · UHC-EXCH-MD-OBSTRUCTIVE-SLEEP-APNEA-TREATMENT	New policy
May 25, 2026	UnitedHealthcare	Noncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for WoundsPayerPolicy · UHC-EXCH-MD-NONCONTACT-WARMING-THERAPY-ULTRASOUND-THERAPY-WOUNDS	New policy
May 25, 2026	UnitedHealthcare	Niktimvo (Axatilimab-Csfr) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-NIKTIMVO	New policy
May 25, 2026	UnitedHealthcare	Neurophysiologic Testing and MonitoringPayerPolicy · UHC-EXCH-MD-NEUROPHYSIOLOGIC-TESTING	New policy
May 25, 2026	UnitedHealthcare	Nerve Graft to Restore Erectile Function During Radical ProstatectomyPayerPolicy · UHC-EXCH-MD-NERVE-GRAFT-TO-RESTORE-ERECTILE-FUNCTION-A2D3685163	New policy
May 25, 2026	UnitedHealthcare	Negative Pressure Wound TherapyPayerPolicy · UHC-EXCH-MD-NEGATIVE-PRESSURE-WOUND-THERAPY	New policy
May 25, 2026	UnitedHealthcare	Natalizumab (Tyruko & Tysabri) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-NATALIZUMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	Motorized Spinal TractionPayerPolicy · UHC-EXCH-MD-MOTORIZED-SPINAL-TRACTION	New policy
May 25, 2026	UnitedHealthcare	Molecular Oncology Testing for Solid Tumor Cancer Diagnosis, Prognosis, and Treatment DecisionsPayerPolicy · UHC-EXCH-MD-MOLECULAR-ONCOLOGY-TESTING-FOR-CANCER	New policy