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) | Alpha1-Proteinase Inhibitors | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Airway Clearance Devices | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Adzynma (ADAMTS13, Recombinant-Krhn) | Criteria changed |
| May 18, 2026 | Surest (UnitedHealthcare) | Abnormal Uterine Bleeding and Uterine Fibroids | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Xolair (Omalizumab) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Vyondys 53 (Golodirsen) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Vyjuvek (Beramagene Geperpavec-Svdt) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Vyepti (Eptinezumab-Jjmr) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Visual Information Processing Evaluation and Orthoptic and Vision Therapy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Viltepso (Viltolarsen) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Video Electroencephalographic (vEEG) Monitoring and Recording | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Vertebral Body Tethering for Scoliosis | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Umbilical Cord Blood Harvesting and Storage for Future Use | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Tzield (Teplizumab-Mzwv) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Treatment of Temporomandibular Joint Disorders | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Transcatheter Procedures for Heart Valve Conditions | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Tocilizumab Injection for Intravenous Infusion | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Testosterone Replacement or Supplementation Therapy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Tepezza (Teprotumumab-Trbw) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Synagis (Palivizumab) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Sympathetic Blockade | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Susvimo (Ranibizumab Injection) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgery of the Shoulder | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgery of the Knee | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgery of the Hip | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgery of the Wrist or Thumb | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgery of the Foot | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgery of the Elbow | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgery of the Ankle | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Surgery for the Prevention and Treatment of Lymphedema | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Subcutaneous Implantable Naltrexone Pellets | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Spinal Fusion and Bone Healing Enhancement Products | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Spevigo (Spesolimab-Sbzo) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Sleep Studies | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Skyrizi (Risankizumab-Rzaa) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Skin and Soft Tissue Substitutes | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Sinus Surgeries and Interventions | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Simponi Aria (Golimumab) Injection for Intravenous Infusion | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Sensory Integration Therapy and Auditory Integration Training | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Self-Administered Medications | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Screening Colonoscopy Procedures – Site of Service | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Scenesse (Afamelanotide) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Sacroiliac Joint Interventions | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Sacral Nerve Stimulation for Urinary and Fecal Indications | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | RNA-Targeted Therapies (Amvuttra and Onpattro) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Rituximab (Riabni, Rituxan, Ruxience, & Truxima) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Respiratory Pathogen Nucleic Acid Detection Testing | Criteria changed |