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) | Cell-Free Fetal DNA Testing | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Catheter Ablation for Atrial Fibrillation | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Carrier Testing Panels for Genetic Diseases | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Cardiovascular Disease Risk Tests | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Brow Ptosis and Eyelid Repair | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Bronchial Thermoplasty | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Briumvi (Ublituximab-Xiiy) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Breast Reduction Surgery | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Breast Reconstruction | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Breast Imaging for Screening and Diagnosing Cancer | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Botulinum Toxins A and B | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Beds and Mattresses | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Bariatric Surgery | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Autologous Cellular Therapy | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Amondys 45 (Casimersen) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Ambulance Services | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Alpha1-Proteinase Inhibitors | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Airway Clearance Devices | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Adzynma (ADAMTS13, Recombinant-Krhn) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Adakveo (Crizanlizumab-Tmca) | Criteria changed |
| May 18, 2026 | UMR (UnitedHealthcare) | Abnormal Uterine Bleeding and Uterine Fibroids | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Wrong Surgical or Other Invasive Procedures Policy, Professional and Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Split Surgical Package Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Services Incident-to a Supervising Health Care Provider Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Replacement Codes Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Outpatient Rehabilitation Therapy Service Policy, Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Outpatient From-to Date Policy, Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Observation and Discharge Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | National Drug Code (NDC) Requirement Policy, Professional and Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Molecular Pathology Policy, Professional and Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Maximum Frequency Per Day Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Inpatient Readmission Review Policy, Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Hospital Based Ambulance Policy, Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Home Health Services Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | From - To Date Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Emergency Department (ED) Facility Evaluation and Management (E&M) Coding Policy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Drug Testing Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Device, Implant, and Skin Substitute Policy, Facility | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Consultation Services Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Co-Surgeon / Team Surgeon Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Clinical Laboratory Improvement Amendments (CLIA) ID Requirement Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Anesthesia Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Anatomical Modifier Requirement Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Ambulance Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Advanced Practice Health Care Provider Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Acupuncture Policy, Professional | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Papzimeos (Zopapogene Imadenovec-Drba) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Outpatient Cardiology Procedures for EviCore Arrangement (for Oxford Only) – Oxford Medical Policy | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Gazyva (Obinutuzumab) | Criteria changed |
| May 18, 2026 | UnitedHealthcare | Zolgensma (Onasemnogene Abeparvovec-Xioi) | Criteria changed |