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.
86,510 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| May 18, 2026 | Surest (UnitedHealthcare) | Proton Beam Radiation Therapy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Prostate Surgeries and Interventions | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Private Duty Nursing Services | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Preventive Care Services | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Pneumatic Compression Devices | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Plagiocephaly and Craniosynostosis Treatment | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Pharmacogenetic Panel Testing | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Percutaneous Vertebroplasty and Kyphoplasty | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Percutaneous Neuroablation for Pancreatic Cancer Pain, Severe Cancer Pain, and Trigeminal Neuralgia | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Parsabiv (Etelcalcetide) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Papzimeos (Zopapogene Imadenovec-Drba) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Panniculectomy Surgery | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Oxlumo (Lumasiran) and Rivfloza (Nedosiran) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Orthognathic (Jaw) Surgery | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Orencia (Abatacept) Injection for Intravenous Infusion | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Ophthalmologic Vascular Endothelial Growth Factor (VEGF) Inhibitors | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Ophthalmologic Complement Inhibitors | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Oncology Medication Clinical Coverage | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Omvoh (Mirikizumab-Mrkz) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Omnibus Codes | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Ocular Photoscreening | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Noncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for Wounds | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Niktimvo (Axatilimab-Csfr) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Neurophysiologic Testing and Monitoring | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Negative Pressure Wound Therapy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Motorized Spinal Traction | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment Decisions | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Medical Benefit Therapeutic Equivalent Medications – Excluded Drugs | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Maximum Dosage and Frequency | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Manipulative Therapy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Manipulation Under Anesthesia | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Luxturna (Voretigene Neparvovec-Rzyl) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Lower Extremity Prosthetics | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Long-Acting Injectable Antiretroviral Agents for HIV | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Light and Laser Therapy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Leqembi (Lecanemab-Irmb) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Krystexxa (Pegloticase) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Kisunla (Donanemab-Azbt) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Ketalar (Ketamine) and Spravato (Esketamine) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Kebilidi (Eladocagene Exuparvovec-Tneq) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Intravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Intracanalicular and Intravitreal Corticosteroid Implants | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Interspinous Fusion and Decompression Devices | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Intensity-Modulated Radiation Therapy | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Injectable Dermal Fillers and Bulking Agents | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Infertility Diagnosis, Treatment, and Fertility Preservation | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Implanted Spinal Drug Delivery Systems | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Implanted Electrical Stimulator for the Spinal Cord | Criteria changed |