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 |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Custom Fabricated Devices - DME.CU.101.APayerPolicy · EVICORE-DME-F5B9B95727FD | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | eviCore Durable Medical Equipment (DME) GuidelinesPayerPolicy · EVICORE-DME-667ECACF87FB | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | eviCore Durable Medical Equipment (DME) GuidelinesPayerPolicy · EVICORE-DME-AE7432970529 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Lower Extremity Prostheses - DME.MU.107.APayerPolicy · EVICORE-DME-E4A3CD45E565 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Durable Medical Equipment (DME) Clinical Guidelines for Medical NecessityPayerPolicy · EVICORE-DME-E90E9F9EC3E9 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Durable Medical Equipment (DME) Clinical Guidelines for Medical NecessityPayerPolicy · EVICORE-DME-2BCF602A9C74 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Durable Medical Equipment (DME) Clinical Guidelines for Medical NecessityPayerPolicy · EVICORE-DME-DEA25AA309C9 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Durable Medical Equipment (DME) Clinical GuidelinesPayerPolicy · EVICORE-DME-96BB707061C9 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Lower Extremity Prostheses - DME.MU.107.APayerPolicy · EVICORE-DME-D3F08D2AF722 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Medicare: Hierarchy for Applying Coverage Decisions- DME.AD.104.APayerPolicy · EVICORE-DME-D6E35DB07255 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Hospital Beds and Accessories - DME.HC.111.APayerPolicy · EVICORE-DME-5B527839D366 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Clinical Information to Establish Medical NecessityPayerPolicy · EVICORE-DME-F9CD8D7C | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | External Insulin Infusion Pumps - DME.GC.101.APayerPolicy · EVICORE-DME-F85C8752C5E8 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Ostomy Supplies - DME.SW.111.APayerPolicy · EVICORE-DME-F3CECC73 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Hospital Beds - DME.HC.111.APayerPolicy · EVICORE-DME-E705AFE79D35 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Bowel Management Devices - DME.SU.101.APayerPolicy · EVICORE-DME-582A02C8D9F1 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | External Breast Prostheses - DME.MU.204.APayerPolicy · EVICORE-DME-E28018BAFAF9 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Group 2 Pressure Reducing Support Surfaces - DME.SW.103.APayerPolicy · EVICORE-DME-90CDE1930A83 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Upper Extremity Microprocessor Devices - DME.MU.206.APayerPolicy · EVICORE-DME-B8BEE11520E7 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Nebulizers - DME.O2.102.APayerPolicy · EVICORE-DME-97AA6A912A24 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Home Oxygen Therapy - DME.O2.100.APayerPolicy · EVICORE-DME-364F5B8C008D | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Cranial Hair Prostheses - DME.CU.107.APayerPolicy · EVICORE-DME-D1E06E160394 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Home Mechanical Ventilation Devices - DME.O2.104.APayerPolicy · EVICORE-DME-2B1A7C724267 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Transcutaneous Electrical Nerve Stimulation (TENS) Unit - DME.ST.112.APayerPolicy · EVICORE-DME-B689A2FBC149 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Airway Clearance Devices - DME.O2.101.APayerPolicy · EVICORE-DME-DE9794578DA7 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Glucose Monitors - DME.GC.100.APayerPolicy · EVICORE-DME-F16A04E75B14 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Functional Electrical Stimulation (FES) and Neuromuscular Electrical Stimulation (NMES) - DME.ST.113.APayerPolicy · EVICORE-DME-CEB53FAF5A0D | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | External Insulin Infusion Pumps - DME.GC.101.APayerPolicy · EVICORE-DME-C708F0DA3D67 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Non-Spinal Electrical Osteogenesis Stimulator - DME.ST.110.APayerPolicy · EVICORE-DME-ABAE8582215A | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Electrical Bone Growth Stimulation (Spine) - DME.ST.109.APayerPolicy · EVICORE-DME-C3A00F52F88B | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Power Wheelchairs and Accessories - DME.WC.107.APayerPolicy · EVICORE-DME-9D2A5614349C | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Diabetic Shoes and Inserts - DME.FT.100.APayerPolicy · EVICORE-DME-FF210D0FAB01 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Wheelchair Cushions and Seating - DME.WC.102.APayerPolicy · EVICORE-DME-613A06336219 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Manual Wheelchair Accessories - DME.WC.105.APayerPolicy · EVICORE-DME-CFE1E362F860 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Manual Wheelchairs - DME.WC.100.APayerPolicy · EVICORE-DME-8C92AF090191 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Miscellaneous Surgical Dressings - DME.SW.106.APayerPolicy · EVICORE-DME-E6563FE9AFF7 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | External Defibrillators - DME.CD.100.APayerPolicy · EVICORE-DME-F3CF666C7012 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Power Wheelchair Repairs and Replacement Accessories - DME.WC.103.APayerPolicy · EVICORE-DME-D1D1E84508C3 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Power Operated Vehicles - DME.WC.109.APayerPolicy · EVICORE-DME-1EAB00E7B46A | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Negative Pressure Wound Therapy - DME.SW.105.APayerPolicy · EVICORE-DME-6C5BFB0BBBF9 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Pneumatic and Non-Pneumatic Compression Devices - DME.SW.109.APayerPolicy · EVICORE-DME-DDAD0647EDF1 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Topical Oxygen Therapy (TOT) Devices - DME.SW.107.APayerPolicy · EVICORE-DME-C8E408B9981E | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Electrical Stimulation (ES) for the Treatment of Wounds - DME.ST.113.APayerPolicy · EVICORE-DME-BB653A262D7D | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Adult Foot Orthotics and Orthopedic Shoes - DME.MU.205.APayerPolicy · EVICORE-DME-A9EDBBA8883A | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Lymphedema Compression Garments - DME.SU.102.APayerPolicy · EVICORE-DME-B4C7C2C77AF3 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Spinal Orthoses (Thoracic-Lumbar Sacral, Lumbar, Lumbar-Sacral and Sacroiliac) - DME.MU.111.APayerPolicy · EVICORE-DME-A070FA3DDCC3 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Pediatric Gait Trainers - DME.WC.104.APayerPolicy · EVICORE-DME-1B5422A019A2 | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Seat Lifts - DME.SW.109.APayerPolicy · EVICORE-DME-2D38ADF360FA | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Patient Lifts - DME.HC.112.APayerPolicy · EVICORE-DME-D5E5D645AD0F | Created |
|---|
| Dec 4, 2025 | EviCore by Evernorth | Pediatric Foot Orthotics and Orthopedic Shoes - DME.MU.114.APayerPolicy · EVICORE-DME-D7C6D49BA703 | Created |
|---|