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 10, 2026 | UMR (UnitedHealthcare) | Entyvio (Vedolizumab) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Enteral Nutrition (Oral and Tube Feeding) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Enjaymo (Sutimlimab-Jome) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Encelto (Revakinagene Taroretcel-Lwey) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Embolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome – UMR Medical Policy | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Elevidys (Delandistrogene Moxeparvovec-Rokl) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Electromagnetic Therapy for Wounds | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Electrical and Ultrasonic Bone Growth Stimulators | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Electric Tumor Treatment Field Therapy | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Elective Inpatient Services | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Edaravone | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Durable Medical Equipment, Orthotics, Medical Supplies, and Repairs/Replacements | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Discogenic Pain Treatment | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Diagnostic Dynamic Spinal Visualization and Vertebral Motion Analysis | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Denosumab | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Deep Brain and Cortical Stimulation | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Cytological Examination of Breast Fluids for Cancer Screening or Diagnosis | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Crysvita (Burosumab-Twza) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Cosmetic and Reconstructive Procedures | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Cosentyx (Secukinumab) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Computerized Dynamic Posturography | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Computer-Assisted Surgical Navigation for Musculoskeletal Procedures | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Complement C5 Inhibitors | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Collagen Crosslinks and Biochemical Markers of Bone Turnover | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Cognitive Rehabilitation and Coma Stimulation | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Cochlear Implants | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Clotting Factors, Coagulant Blood Products, & Other Hemostatics | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Clinical Trials | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Cimzia (Certolizumab Pegol) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Chromosome Microarray Testing (Non-Oncology Conditions) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Chemotherapy Observation or Inpatient Hospitalization | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Chelation Therapy | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Cell-Free Fetal DNA Testing | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Catheter Ablation for Atrial Fibrillation | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Category III Codes | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Carrier Testing Panels for Genetic Diseases | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Cardiovascular Disease Risk Tests | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Buprenorphine (Brixadi & Sublocade) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Brow Ptosis and Eyelid Repair | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Bronchial Thermoplasty | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Briumvi (Ublituximab-Xiiy) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Brineura (Cerliponase Alfa) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Breast Reduction Surgery | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Breast Reconstruction | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Breast Imaging for Screening and Diagnosing Cancer | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Botulinum Toxins A and B | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Benlysta (Belimumab) | Criteria changed |
| May 10, 2026 | UMR (UnitedHealthcare) | Beds and Mattresses | Criteria changed |