Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
86,510 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| May 14, 2026 | Univera Healthcare | Positron Emission Tomography (PET)- Non-Oncologic ApplicationsPayerPolicy · UNIVERA-6-01-07-2257140B3A | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Positron Emission Tomography (PET) Oncologic ApplicationsPayerPolicy · UNIVERA-6-01-29-DB30A07889 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Positron Emission Tomography (PET) – Head Imaging (Effective 2026-05-15)PayerPolicy · UNIVERA-6-01-47-49E6CA34BC | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Positron Emission Tomography (PET) - Non-Oncologic Applications (Effective 2026-05-15)PayerPolicy · UNIVERA-6-01-07-426082C57D | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Positive Airway Pressure Devices CPAP, BiPAP, APAP and Noninvasive Positive Pressure VentilatorsPayerPolicy · UNIVERA-1-01-06-8D132E3E71 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Photodynamic Therapy for Malignant DiseasePayerPolicy · UNIVERA-8-01-06 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | PharmacogeneticsPayerPolicy · UNIVERA-2-02-30 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Peroral Endoscopic Myotomy (POEM) Procedures (Effective 2026-05-15)PayerPolicy · UNIVERA-7-01-120-B6EE933586 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Periodontal Scaling and Root PlaningPayerPolicy · UNIVERA-13-01-04 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Percutaneous Vertebroplasty/Mechanical Vertebral Augmentation and Percutaneous SacroplastyPayerPolicy · UNIVERA-6-01-17-D37F997953 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Partial Hospitalization for Substance Use DisordersPayerPolicy · UNIVERA-3-01-18 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Pancreas Transplant: (Pancreas Transplant Alone, Pancreas Transplant after Kidney Transplant, Simultaneous Pancreas Kidney Transplant): Islet Cell TransplantPayerPolicy · UNIVERA-7-02-01 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Pacemakers and Cardiac Resynchronization Therapy (CRT) Devices (Effective 2026-06-15)PayerPolicy · UNIVERA-7-01-58-128EFF1CAD | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Osteochondral Grafting of the KneePayerPolicy · UNIVERA-7-01-59-5123DEAA7C | Criteria changed |
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| May 14, 2026 | Univera Healthcare | OrthoticsPayerPolicy · UNIVERA-1-01-25-5CABA0CD35 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Non-Invasive-Prenatal TestingPayerPolicy · UNIVERA-2-02-25-4EC0051657 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Neuropsychological TestingPayerPolicy · UNIVERA-2-01-50-AC96601708 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Neuropsychological and Psychological TestingPayerPolicy · UNIVERA-3-01-24 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Negative Pressure Wound Therapy (Vacuum-Assisted Closure)PayerPolicy · UNIVERA-01-01-38 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Minimally Invasive Treatments for Benign Prostatic Hyperplasia (BPH)PayerPolicy · UNIVERA-7-01-104 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Metal-on-Metal Total Hip ResurfacingPayerPolicy · UNIVERA-7-01-74-A54BA0FAA2 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Medical Management Obstructive Sleep Apnea (OSA)PayerPolicy · UNIVERA-1-01-07 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Magnetic Resonance Imaging (MRI) of the Prostate (Effective 2026-05-15)PayerPolicy · UNIVERA-6-01-46-2C883D95F2 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Lumbar FusionPayerPolicy · UNIVERA-7-01-117-FDA5EE64BF | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Lumbar DecompressionPayerPolicy · UNIVERA-7-01-113-5831179413 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Liver TransplantationPayerPolicy · UNIVERA-7-02-07 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Limb Pneumatic Compression Devices for Venous Thromboembolism ProphylaxisPayerPolicy · UNIVERA-1-01-51 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Laboratory Testing for Transplantation RejectionPayerPolicy · UNIVERA-2-02-55 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Laboratory Testing for the Screening and Management of Prostate CancerPayerPolicy · UNIVERA-2-02-48 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Kidney TransplantationPayerPolicy · UNIVERA-7-02-04 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | JAK2, MPL, and CALR Testing for Myeloproliferative NeoplasmsPayerPolicy · UNIVERA-2-02-53 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Interfacility Transfer of a Registered InpatientPayerPolicy · UNIVERA-11-01-18 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Injectable Fillers for Dermal and Laryngeal ConditionsPayerPolicy · UNIVERA-7-01-119 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Inflammatory Markers of Coronary Artery Disease RiskPayerPolicy · UNIVERA-2-02-15 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Implantable Cardioverter Defibrillator (ICD) (Effective 2026-06-15)PayerPolicy · UNIVERA-7-01-06-B6181B9B83 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Home Birth by Certified Nurse MidwivesPayerPolicy · UNIVERA-11-01-23 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Home Automatic External Defibrillators (AEDs) and Wearable Cardioverter Defibrillators (WCDs)PayerPolicy · UNIVERA-1-01-42 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Germline Genetic Testing for Hereditary CancersPayerPolicy · UNIVERA-2-02-60 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Genetic Testing for Thoracic Aortic Aneurysms/ Dissections and Connective Tissue Related DisordersPayerPolicy · UNIVERA-2-02-61-3B5EF66EE1 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Genetic Testing for Inherited DisordersPayerPolicy · UNIVERA-2-02-03 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Genetic Testing for Cystic FibrosisPayerPolicy · UNIVERA-2-02-17 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Foot OrthoticsPayerPolicy · UNIVERA-1-01-41 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Extracorporeal Photochemotherapy/PhotopheresisPayerPolicy · UNIVERA-8-01-01 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | External Prosthetic DevicesPayerPolicy · UNIVERA-1-01-18-83CD935E34 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Evoked PotentialsPayerPolicy · UNIVERA-2-01-27 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Epidural Steroid InjectionsPayerPolicy · UNIVERA-7-01-115-06E06B862A | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Enteral NutritionPayerPolicy · UNIVERA-10-01-03 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Endometrial AblationPayerPolicy · UNIVERA-4-01-01 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Emergency Care ServicesPayerPolicy · UNIVERA-10-01-12 | Criteria changed |
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| May 14, 2026 | Univera Healthcare | Durable Medical Equipment Standard and Non-StandardPayerPolicy · UNIVERA-1-01-00-672332476C | Criteria changed |
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