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	Chromosome Microarray Testing (Non-Oncology Conditions)PayerPolicy · UHC-EXCH-MD-CHROMOSOME-MICROARRAY-TESTING	New policy
May 25, 2026	UnitedHealthcare	Chemotherapy Observation or Inpatient HospitalizationPayerPolicy · UHC-EXCH-MD-CHEMOTHERAPY-OBSERVATION-INPATIENT-HOSPITALIZATION	New policy
May 25, 2026	UnitedHealthcare	Chelation TherapyPayerPolicy · UHC-EXCH-MD-CHELATION-THERAPY-NON-OVERLOAD-CONDITIONS	New policy
May 25, 2026	UnitedHealthcare	Cell-Free Fetal DNA TestingPayerPolicy · UHC-EXCH-MD-CELL-FREE-FETAL-DNA-TESTING	New policy
May 25, 2026	UnitedHealthcare	Catheter Ablation for Atrial FibrillationPayerPolicy · UHC-EXCH-MD-CATHETER-ABLATION-ATRIAL-FIBRILLATION	New policy
May 25, 2026	UnitedHealthcare	Category III CodesPayerPolicy · UHC-EXCH-MD-CATEGORY-III-CODES	New policy
May 25, 2026	UnitedHealthcare	Carrier Testing Panels for Genetic DiseasesPayerPolicy · UHC-EXCH-MD-CARRIER-TESTING-FOR-GENETIC-DISEASES	New policy
May 25, 2026	UnitedHealthcare	Cardiovascular Disease Risk TestsPayerPolicy · UHC-EXCH-MD-CARDIOVASCULAR-DISEASE-RISK-TESTS	New policy
May 25, 2026	UnitedHealthcare	Buprenorphine (Brixadi & Sublocade) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-BUPRENORPHINE-IEX	New policy
May 25, 2026	UnitedHealthcare	Brow Ptosis and Eyelid RepairPayerPolicy · UHC-EXCH-MD-BROW-PTOSIS-EYELID-REPAIR	New policy
May 25, 2026	UnitedHealthcare	Bronchial ThermoplastyPayerPolicy · UHC-EXCH-MD-BRONCHIAL-THERMOPLASTY	New policy
May 25, 2026	UnitedHealthcare	Briumvi (Ublituximab-Xiiy) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-BRIUMVI-UBLITUXIMAB-XIIY-IEX	New policy
May 25, 2026	UnitedHealthcare	Brineura (Cerliponase Alfa) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-BRINEURA-CERLIPONASE-ALFA-IEX	New policy
May 25, 2026	UnitedHealthcare	Breast Reduction SurgeryPayerPolicy · UHC-EXCH-MD-BREAST-REDUCTION-SURGERY	New policy
May 25, 2026	UnitedHealthcare	Breast ReconstructionPayerPolicy · UHC-EXCH-MD-BREAST-RECONSTRUCTION	New policy
May 25, 2026	UnitedHealthcare	Breast Imaging for Screening and Diagnosing CancerPayerPolicy · UHC-EXCH-MD-BREAST-IMAGING-SCREENING-DIAGNOSING-CANCER	New policy
May 25, 2026	UnitedHealthcare	Botulinum Toxins A and B – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-BOTULINUM-TOXINS-A-B-IEX	New policy
May 25, 2026	UnitedHealthcare	Benlysta (Belimumab) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-BENLYSTA-BELIMUMAB-IEX	New policy
May 25, 2026	UnitedHealthcare	Beds and MattressesPayerPolicy · UHC-EXCH-MD-BEDS-MATTRESSES	New policy
May 25, 2026	UnitedHealthcare	Bariatric SurgeryPayerPolicy · UHC-EXCH-MD-BARIATRIC-SURGERY	New policy
May 25, 2026	UnitedHealthcare	Autologous Cellular TherapyPayerPolicy · UHC-EXCH-MD-AUTOLOGOUS-CELLULAR-THERAPY	New policy
May 25, 2026	UnitedHealthcare	ApheresisPayerPolicy · UHC-EXCH-MD-APHERESIS	New policy
May 25, 2026	UnitedHealthcare	Antiemetics for Oncology – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ANTIEMETICS-FOR-ONCOLOGY-INDIVIDUAL-EXCH-59C0C2CB1E	New policy
May 25, 2026	UnitedHealthcare	Amondys 45 (Casimersen) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-AMONDYS	New policy
May 25, 2026	UnitedHealthcare	Ambulance ServicesPayerPolicy · UHC-EXCH-MD-AMBULANCE-SERVICES	New policy
May 25, 2026	UnitedHealthcare	Alpha1-Proteinase Inhibitors – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ALPHA1-PROTEINASE-INHIBITORS-IEX	New policy
May 25, 2026	UnitedHealthcare	Airway Clearance DevicesPayerPolicy · UHC-EXCH-MD-AIRWAY-CLEARANCE-DEVICES	New policy
May 25, 2026	UnitedHealthcare	Adzynma (ADAMTS13, Recombinant-Krhn) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ADZYNMA-ADAMTS13-RECOMBINANT-KRHN-INDIVI-C4A425DEA6	New policy
May 25, 2026	UnitedHealthcare	Adakveo (Crizanlizumab-Tmca) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ADAKVEO-CRIZANLIZUMAB-TMCA	New policy
May 25, 2026	UnitedHealthcare	Abnormal Uterine Bleeding and Uterine FibroidsPayerPolicy · UHC-EXCH-MD-ABNORMAL-UTERINE-BLEEDING-UTERINE-FIBROIDS	New policy
May 25, 2026	UnitedHealthcare	Ablative Treatment for Spinal PainPayerPolicy · UHC-EXCH-MD-ABLATIVE-TREATMENT-SPINAL-PAIN	New policy
May 25, 2026	UnitedHealthcare	Violence and AbusePayerPolicy · UHC-CG-VIOLENCE-AND-ABUSE-E4115AC83C	New policy
May 25, 2026	UnitedHealthcare	Tumor-Infiltrating Lymphocyte (TIL) Cell TherapyPayerPolicy · UHC-CG-TUMOR-INFILTRATING-LYMPHOCYTE-TIL-CELL-THERAP-5D4F783ECB	New policy
May 25, 2026	UnitedHealthcare	Tumor-Infiltrating Lymphocyte (TIL) Cell Therapy (for Ohio Only)PayerPolicy · UHC-CG-TUMOR-INFILTRATING-LYMPHOCYTE-TIL-CELL-THERAP-2C74DB4F1A	New policy
May 25, 2026	UnitedHealthcare	Transplant Review Guidelines: Solid Organ TransplantationPayerPolicy · UHC-CG-TRANSPLANT-REVIEW-GUIDELINES-SOLID-ORGAN-TRAN-BB0E485C3F	New policy
May 25, 2026	UnitedHealthcare	Transplant Review Guidelines: Solid Organ Transplantation (for Ohio Only)PayerPolicy · UHC-CG-TRANSPLANT-REVIEW-GUIDELINES-SOLID-ORGAN-TRAN-3B6A1D1302	New policy
May 25, 2026	UnitedHealthcare	Transplant Review Guidelines: Hematopoietic Stem Cell TransplantationPayerPolicy · UHC-CG-TRANSPLANT-REVIEW-GUIDELINES-HEMATOPOIETIC-ST-6CC9508F35	New policy
May 25, 2026	UnitedHealthcare	Transplant Review Guidelines: Hematopoietic Stem Cell Transplantation (for Ohio Only)PayerPolicy · UHC-CG-TRANSPLANT-REVIEW-GUIDELINES-HEMATOPOIETIC-ST-5543895301	New policy
May 25, 2026	UnitedHealthcare	Transplant Review Guidelines: Hematopoietic Stem Cell Transplantation (for Ohio Only)PayerPolicy · UHC-CG-TRANSPLANT-REVIEW-GUIDELINES-HEMATOPOIETIC-ST-46B145FB4D	New policy
May 25, 2026	UnitedHealthcare	Tobacco UsePayerPolicy · UHC-CG-TOBACCO-USE-04AF8D53D8	New policy
May 25, 2026	UnitedHealthcare	T-Cell Receptor T-Cell TherapyPayerPolicy · UHC-CG-T-CELL-RECEPTOR-T-CELL-THERAPY-E8C31A90C7	New policy
May 25, 2026	UnitedHealthcare	T-Cell Receptor T-Cell Therapy (for Ohio Only)PayerPolicy · UHC-CG-T-CELL-RECEPTOR-T-CELL-THERAPY-FOR-OHIO-ONLY-38BEBF52FB	New policy
May 25, 2026	UnitedHealthcare	Special Health Care NeedsPayerPolicy · UHC-CG-SPECIAL-HEALTH-CARE-NEEDS-303DFA0ADE	New policy
May 25, 2026	UnitedHealthcare	Sickle Cell DiseasePayerPolicy · UHC-CG-SICKLE-CELL-DISEASE-DA2927CDE8	New policy
May 25, 2026	UnitedHealthcare	SepsisPayerPolicy · UHC-CG-SEPSIS-3293AE5365	New policy
May 25, 2026	UnitedHealthcare	Preventive ServicesPayerPolicy · UHC-CG-PREVENTIVE-SERVICES-88A8694C09	New policy
May 25, 2026	UnitedHealthcare	Preventive Pediatric Health Care ScreeningPayerPolicy · UHC-CG-PREVENTIVE-PEDIATRIC-HEALTH-CARE-SCREENING-9816B6637E	New policy
May 25, 2026	UnitedHealthcare	Physical ActivityPayerPolicy · UHC-CG-PHYSICAL-ACTIVITY-AAE378117F	New policy
May 25, 2026	UnitedHealthcare	Persons with DisabilitiesPayerPolicy · UHC-CG-PERSONS-WITH-DISABILITIES-68BF124FC7	New policy
May 25, 2026	UnitedHealthcare	Perinatal CarePayerPolicy · UHC-CG-PERINATAL-CARE-AD6AF7486B	New policy