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 | UMR (UnitedHealthcare) | Injectable Dermal Fillers and Bulking Agents | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Inhaled Nitric Oxide Therapy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Infertility Diagnosis, Treatment, and Fertility Preservation | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Implanted Spinal Drug Delivery Systems | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Implanted Electrical Stimulator for the Spinal Cord | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Implantable Loop Recorders and Wearable Heart Rhythm Monitors | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Ilumya (Tildrakizumab-Asmn) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Hysterectomy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Hyperbaric Oxygen Therapy and Topical Oxygen Therapy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Hospital Services: Observation and Inpatient | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Home Traction Therapy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Home Health, Skilled, and Custodial Care Services | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Hearing Aids and Devices Including Wearable, Bone-Anchored, and Semi-Implantable | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Gynecomastia Surgery | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Glaucoma Surgical Treatments | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Givlaari (Givosiran) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Genetic Testing for Neurological Disorders | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Genetic Testing for Hereditary Cancer | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Gene Therapies for Hemophilia B | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Gender Dysphoria Treatment | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Gamifant (Emapalumab-Lzsg) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Indications | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Exondys 51 (Eteplirsen) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Epiduroscopy, Epidural Lysis of Adhesions, and Discography | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Epidural Steroid Injections for Spinal Pain | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Enteral Nutrition (Oral and Tube Feeding) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Encelto (Revakinagene Taroretcel-Lwey) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Embolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome – UMR Medical Policy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Electromagnetic Therapy for Wounds | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Electric Tumor Treatment Field Therapy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Elective Inpatient Services | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Edaravone | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Durable Medical Equipment, Orthotics, Medical Supplies, and Repairs/Replacements | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Diagnostic Dynamic Spinal Visualization and Vertebral Motion Analysis | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Deep Brain and Cortical Stimulation | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Cytological Examination of Breast Fluids for Cancer Screening or Diagnosis | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Cosmetic and Reconstructive Procedures | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Cosentyx (Secukinumab) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Computerized Dynamic Posturography | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Computer-Assisted Surgical Navigation for Musculoskeletal Procedures | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Complement C5 Inhibitors | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Collagen Crosslinks and Biochemical Markers of Bone Turnover | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Cochlear Implants | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Clotting Factors, Coagulant Blood Products, & Other Hemostatics | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Clinical Trials | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Cimzia (Certolizumab Pegol) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Chromosome Microarray Testing (Non-Oncology Conditions) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Chemotherapy Observation or Inpatient Hospitalization | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Chelation Therapy | Criteria changed |