Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
82,180 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Sep 30, 2026 | EviCore by Evernorth | Walkers - DME.WC.106.APayerPolicy · EVICORE-DME-E8F1BABD94E8 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Replacement and Continued Use of Durable Medical Equipment (DME) - DME.GG.101.APayerPolicy · EVICORE-DME-F1DE40AC0AAF | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Replacement and Continued Use of DME - DME.AD.101.APayerPolicy · EVICORE-DME-23B7436AC710 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Durable Medical Equipment (DME) General Criteria - DME.AD.100.APayerPolicy · EVICORE-DME-9EFC1478B095 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Durable Medical Equipment (DME) General Criteria - DME.AD.100.APayerPolicy · EVICORE-DME-64E29F9EAEE1 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Custom Fit Durable Medical Equipment (DME) - DME.CU.102.APayerPolicy · EVICORE-DME-15C952A752F3 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Custom Fit DME - DME.CU.102.APayerPolicy · EVICORE-DME-B84D9165B460 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Custom Fabricated Durable Medical Equipment (DME) - DME.CU.101.APayerPolicy · EVICORE-DME-BE599B9F5194 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Custom Fabricated Devices - DME.CU.101.APayerPolicy · EVICORE-DME-F5B9B95727FD | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Experimental, Investigational, or Unproven Policy- DME.GG.102.APayerPolicy · EVICORE-DME-D2386F2EDD06 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Experimental, Investigational, or Unproven Policy- DME.GG.102.APayerPolicy · EVICORE-DME-EA92FC481638 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | DME Experimental, Investigational, or Unproven Policy - DME.GG.102.APayerPolicy · EVICORE-DME-FEFBACEF1D09 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Medicare: Hierarchy for Applying Coverage Decisions- DME.AD.104.APayerPolicy · EVICORE-DME-D6E35DB07255 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | eviCore Durable Medical Equipment (DME) GuidelinesPayerPolicy · EVICORE-DME-667ECACF87FB | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | eviCore Durable Medical Equipment (DME) GuidelinesPayerPolicy · EVICORE-DME-E050A37BE7C5 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | eviCore Durable Medical Equipment (DME) GuidelinesPayerPolicy · EVICORE-DME-AE7432970529 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | eviCore Durable Medical Equipment (DME) GuidelinesPayerPolicy · EVICORE-DME-64E01E049251 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | EviCore Durable Medical Equipment (DME) GuidelinesPayerPolicy · EVICORE-DME-9D9EC8F0EEF9 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Durable Medical Equipment (DME) Clinical Guidelines for Medical NecessityPayerPolicy · EVICORE-DME-E90E9F9EC3E9 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Durable Medical Equipment (DME) Clinical Guidelines for Medical NecessityPayerPolicy · EVICORE-DME-2BCF602A9C74 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Durable Medical Equipment (DME) Clinical Guidelines for Medical NecessityPayerPolicy · EVICORE-DME-DEA25AA309C9 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Durable Medical Equipment (DME) Clinical GuidelinesPayerPolicy · EVICORE-DME-96BB707061C9 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Clinical Information to Establish Medical NecessityPayerPolicy · EVICORE-DME-E9E2870932C1 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Clinical Information to Establish Medical NecessityPayerPolicy · EVICORE-DME-0BEAFFAB7573 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Infusion Pumps - DME.SU.103.APayerPolicy · EVICORE-DME-3A0FD63A1006 | New policy |
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| Sep 30, 2026 | EviCore by Evernorth | Upper Extremity Prostheses - DME.MU.207.APayerPolicy · EVICORE-DME-F0BC0AFFB760 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Functional Electrical Stimulation (FES) and Neuromuscular Electrical Stimulation (NMES) - DME.ST.113.APayerPolicy · EVICORE-DME-3A5C9BF7B380 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Traction and Other Orthopedic Devices - DME.MU.117.APayerPolicy · EVICORE-DME-8626D81DD27C | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Ostomy Supplies - DME.SW.111.APayerPolicy · EVICORE-DME-2154D12A19E0 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Adult Foot Orthotics and Orthopedic Shoes - DME.MU.205.APayerPolicy · EVICORE-DME-64088FED2C26 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Patient Lifts - DME.HC.112.APayerPolicy · EVICORE-DME-C9CCCC12D58B | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Spinal Orthoses (Thoracic-Lumbar Sacral, Lumbar, Lumbar-Sacral and Sacroiliac) - DME.MU.111.APayerPolicy · EVICORE-DME-124DF356D9E3 | New policy |
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| Sep 30, 2026 | EviCore by Evernorth | Cranial and Cervical Orthoses - DME.MU.115.APayerPolicy · EVICORE-DME-7958465B6540 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Ankle-Foot Orthoses (AFOs), Knee-Ankle-Foot Orthoses (KAFOs), and Hip-Knee-Ankle-Foot Orthoses (HKAFOs) - DME.MU.203.APayerPolicy · EVICORE-DME-63DAFA228FA7 | New policy |
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| Sep 30, 2026 | EviCore by Evernorth | Experimental, Investigational, or Unproven Policy - DME.GG.102.APayerPolicy · EVICORE-DME-DF9B0E9C20CF | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | DME Experimental, Investigational, or Unproven Policy - DME.GG.102.APayerPolicy · EVICORE-DME-7E818AFF2EF2 | New policy |
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| Sep 30, 2026 | EviCore by Evernorth | Infusion Pumps - DME.SU.103.APayerPolicy · EVICORE-DME-B3B511677574 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Spinal Orthoses (Thoracic-Lumbar Sacral, Lumbar, Lumbar-Sacral and Sacroiliac) - DME.MU.111.APayerPolicy · EVICORE-DME-951F8EC15063 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Dynamic Joint Extension and Flexion Orthoses - DME.MU.202.APayerPolicy · EVICORE-DME-8EDCA34C9939 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Ankle-Foot Orthoses (AFOs), Knee-Ankle-Foot Orthoses (KAFOs), and Hip-Knee-Ankle-Foot Orthoses (HKAFOs) - DME.MU.203.APayerPolicy · EVICORE-DME-245204698F5C | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Suction Pumps - DME.SU.108.APayerPolicy · EVICORE-DME-E6B8E9F3A1AB | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Continuous Passive Motion (CPM) Devices - DME.MU.201.APayerPolicy · EVICORE-DME-6E8C1092076F | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Canes and Crutches - DME.WC.108.APayerPolicy · EVICORE-DME-B1ECE3D60483 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Experimental, Investigational, or Unproven Policy- DME.GG.102.APayerPolicy · EVICORE-DME-4C544A4549B6 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Pediatric Spine Imaging GuidelinesPayerPolicy · EVICORE-CARDIOVASCULAR_RADIOLOGY-227026FB1EFB | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Pediatric Spine Imaging GuidelinesPayerPolicy · EVICORE-CARDIOVASCULAR_RADIOLOGY-D8AFC0C92EF5 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Pediatric Spine Imaging GuidelinesPayerPolicy · EVICORE-CARDIOVASCULAR_RADIOLOGY-81B0039519F5 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Pediatric Spine Imaging GuidelinesPayerPolicy · EVICORE-CARDIOVASCULAR_RADIOLOGY-BA3F63C7F3E8 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Pediatric Spine Imaging GuidelinesPayerPolicy · EVICORE-CARDIOVASCULAR_RADIOLOGY-8ABD094E0658 | Metadata changed |
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| Sep 30, 2026 | EviCore by Evernorth | Pediatric Spine Imaging GuidelinesPayerPolicy · EVICORE-CARDIOVASCULAR_RADIOLOGY-56B016EF25E6 | Metadata changed |
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