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 17, 2026 | Surest (UnitedHealthcare) | Transarterial Radioembolization (TARE)/ Selective Internal Radiation Therapy (SIRT) for the Treatment of Malignant Cancers of the Liver | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Total Artificial Disc Replacement for the Spine | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Tocilizumab Injection for Intravenous Infusion | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Tezspire (Tezepelumab-Ekko) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Testosterone Replacement or Supplementation Therapy | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Tepezza (Teprotumumab-Trbw) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Synagis (Palivizumab) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Sympathetic Blockade | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Susvimo (Ranibizumab Injection) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Surgery of the Knee | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Surgery of the Wrist or Thumb | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Surgery of the Foot | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Surgery of the Elbow | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Surgery of the Ankle | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Surgery for the Prevention and Treatment of Lymphedema | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Subcutaneous Implantable Naltrexone Pellets | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Spinraza (Nusinersen) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Spinal Fusion and Decompression | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Spinal Fusion and Bone Healing Enhancement Products | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Spevigo (Spesolimab-Sbzo) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Somatostatin Analogs | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Sodium Hyaluronate | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Sleep Studies | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Skyrizi (Risankizumab-Rzaa) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Skin and Soft Tissue Substitutes | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Simponi Aria (Golimumab) Injection for Intravenous Infusion | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Sensory Integration Therapy and Auditory Integration Training | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Self-Administered Medications | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Scenesse (Afamelanotide) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Saphnelo (Anifrolumab-Fnia) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Sacroiliac Joint Interventions | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Sacral Nerve Stimulation for Urinary and Fecal Indications | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Ryplazim (Plasminogen, Human-Tvmh) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Roctavian (Valoctocogene Roxaparvovec-Rvox) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | RNA-Targeted Therapies (Amvuttra and Onpattro) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Rituximab (Riabni, Rituxan, Ruxience, & Truxima) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Review at Launch for New to Market Medications | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Respiratory Pathogen Nucleic Acid Detection Testing | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Respiratory Interleukin-5 Inhibitor | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Repository Corticotropin Injections | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Rebyota (Fecal Microbiota, Live-Jslm) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Reblozyl (Luspatercept-Aamt) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Radiation Therapy: Fractionation, Image-Guidance, and Special Services | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Qalsody (Tofersen) | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Provider Administered Drugs – Preferred Products | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Proton Beam Radiation Therapy | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Prostate Surgeries and Interventions | Criteria changed |
| May 17, 2026 | Surest (UnitedHealthcare) | Prolotherapy and Platelet Rich Plasma Therapies | Criteria changed |