Coverage policy updates

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.

Recorded changes

86,510 on record

Recorded policy changes, newest first
Recorded	Payer	Policy	Change
Nov 30, 2025	UnitedHealthcare	Surgery for the Prevention and Treatment of LymphedemaPayerPolicy · UHC-POL-surgical-treatment-lymphedema	Created
Nov 30, 2025	UnitedHealthcare	Surgery of the ElbowPayerPolicy · UHC-POL-surgery-elbow	Created
Nov 30, 2025	UnitedHealthcare	Surgery of the Wrist or ThumbPayerPolicy · UHC-POL-surgery-hand-wrist	Created
Nov 30, 2025	UnitedHealthcare	Spevigo (Spesolimab-Sbzo) – IV and Subcutaneous Formulations (for UHCWest Only)PayerPolicy · UHC-POL-spevigo-sv	Created
Nov 30, 2025	UnitedHealthcare	Spinal Fusion and DecompressionPayerPolicy · UHC-POL-spinal-fusion-decompression	Created
Nov 30, 2025	UnitedHealthcare	Spinal Fusion and Bone Healing Enhancement ProductsPayerPolicy · UHC-POL-spinal-fusion-bone-healing-products	Created
Nov 30, 2025	UnitedHealthcare	Subcutaneous Implantable Naltrexone PelletsPayerPolicy · UHC-POL-subcutaneous-implant-naltrexone-pellets	Created
Nov 30, 2025	UnitedHealthcare	Spinraza (Nusinersen)PayerPolicy · UHC-POL-spinraza-nusinersen	Created
Nov 30, 2025	UnitedHealthcare	Spevigo (Spesolimab-Sbzo)PayerPolicy · UHC-POL-spevigo	Created
Nov 30, 2025	UnitedHealthcare	Sleep StudiesPayerPolicy · UHC-POL-sleep-studies	Created
Nov 30, 2025	UnitedHealthcare	Skyrizi (Risankizumab-Rzaa)PayerPolicy · UHC-POL-skyrizi	Created
Nov 30, 2025	UnitedHealthcare	Sodium HyaluronatePayerPolicy · UHC-POL-sodium-hyaluronate	Created
Nov 30, 2025	UnitedHealthcare	Somatostatin AnalogsPayerPolicy · UHC-POL-somatostatin-analogs	Created
Nov 30, 2025	UnitedHealthcare	Sinus Surgeries and InterventionsPayerPolicy · UHC-POL-sinus-surgeries-interventions	Created
Nov 30, 2025	UnitedHealthcare	Simponi Aria (Golimumab) Injection for Intravenous InfusionPayerPolicy · UHC-POL-simponi-aria-golimumab-injection-intravenous-infusion	Created
Nov 30, 2025	UnitedHealthcare	Sensory Integration Therapy and Auditory Integration TrainingPayerPolicy · UHC-POL-sensory-integration-therapy-auditory-integration-training	Created
Nov 30, 2025	UnitedHealthcare	Self-Administered MedicationsPayerPolicy · UHC-POL-self-administered-medications	Created
Nov 30, 2025	UnitedHealthcare	Sacroiliac Joint InterventionsPayerPolicy · UHC-POL-sacroiliac-joint-interventions	Created
Nov 30, 2025	UnitedHealthcare	Sacral Nerve Stimulation for Urinary and Fecal IndicationsPayerPolicy · UHC-POL-sacral-nerve-stimulation	Created
Nov 30, 2025	UnitedHealthcare	Screening Colonoscopy Procedures – Site of ServicePayerPolicy · UHC-POL-screening-colonoscopy-procedures-site-service	Created
Nov 30, 2025	UnitedHealthcare	Saphnelo (Anifrolumab-Fnia)PayerPolicy · UHC-POL-saphnelo	Created
Nov 30, 2025	UnitedHealthcare	Scenesse (Afamelanotide)PayerPolicy · UHC-POL-scenesse	Created
Nov 30, 2025	UnitedHealthcare	RNA-Targeted Therapies (Amvuttra and Onpattro)PayerPolicy · UHC-POL-rna-targeted-therapies	Created
Nov 30, 2025	UnitedHealthcare	Rhinoplasty and Other Nasal ProceduresPayerPolicy · UHC-POL-rhinoplasty-other-nasal-surgeries	Created
Nov 30, 2025	UnitedHealthcare	Rituximab (Riabni, Rituxan, Ruxience, & Truxima)PayerPolicy · UHC-POL-rituxan-rituximab	Created
Nov 30, 2025	UnitedHealthcare	Roctavian (Valoctocogene Roxaparvovec-Rvox)PayerPolicy · UHC-POL-roctavian	Created
Nov 30, 2025	UnitedHealthcare	Ryplazim (Plasminogen, Human-Tvmh)PayerPolicy · UHC-POL-ryplazim	Created
Nov 30, 2025	UnitedHealthcare	Respiratory Pathogen Nucleic Acid Detection TestingPayerPolicy · UHC-POL-respiratory-pathogen-nuceleic-acid	Created
Nov 30, 2025	UnitedHealthcare	Review at Launch for New to Market MedicationsPayerPolicy · UHC-POL-review-at-launch-new-to-market-medications	Created
Nov 30, 2025	UnitedHealthcare	Respiratory Interleukin-5 InhibitorPayerPolicy · UHC-POL-respiratory-interleukins	Created
Nov 30, 2025	UnitedHealthcare	Reblozyl (Luspatercept-Aamt)PayerPolicy · UHC-POL-reblozyl	Created
Nov 30, 2025	UnitedHealthcare	Radiation Therapy: Fractionation, Image-Guidance, and Special ServicesPayerPolicy · UHC-POL-radiation-therapy-fractionation-image-special-services	Created
Nov 30, 2025	UnitedHealthcare	Repository Corticotropin InjectionsPayerPolicy · UHC-POL-repository-corticotropin-injection-hp-acthar-gel	Created
Nov 30, 2025	UnitedHealthcare	Rebyota (Fecal Microbiota, Live-Jslm)PayerPolicy · UHC-POL-rebyota	Created
Nov 30, 2025	UnitedHealthcare	Prostate Surgeries and InterventionsPayerPolicy · UHC-POL-prostate-surgery	Created
Nov 30, 2025	UnitedHealthcare	Proton Beam Radiation TherapyPayerPolicy · UHC-POL-proton-beam-radiation-therapy	Created
Nov 30, 2025	UnitedHealthcare	Provider Administered Drugs – Site of CarePayerPolicy · UHC-POL-provider-administered-drugs-soc	Created
Nov 30, 2025	UnitedHealthcare	Qalsody (Tofersen)PayerPolicy · UHC-POL-qalsody	Created
Nov 30, 2025	UnitedHealthcare	Provider Administered Drugs – Preferred ProductsPayerPolicy · UHC-POL-provider-administered-preferred-products	Created
Nov 30, 2025	UnitedHealthcare	Private Duty Nursing ServicesPayerPolicy · UHC-POL-private-duty-nursing-services	Created
Nov 30, 2025	UnitedHealthcare	Preimplantation Genetic Testing and Related ServicesPayerPolicy · UHC-POL-preimplantation-genetic-testing	Created
Nov 30, 2025	UnitedHealthcare	Preventive Vaccines (Immunizations)PayerPolicy · UHC-POL-vaccines	Created
Nov 30, 2025	UnitedHealthcare	Pneumatic Compression DevicesPayerPolicy · UHC-POL-pneumatic-compression-devices	Created
Nov 30, 2025	UnitedHealthcare	Percutaneous Vertebroplasty and KyphoplastyPayerPolicy · UHC-POL-percutaneous-vertebroplasty-kyphoplasty	Created
Nov 30, 2025	UnitedHealthcare	Percutaneous Patent Foramen Ovale (PFO) ClosurePayerPolicy · UHC-POL-percutaneous-patent-foramen-ovale-closure	Created
Nov 30, 2025	UnitedHealthcare	Plagiocephaly and Craniosynostosis TreatmentPayerPolicy · UHC-POL-plagiocephaly-craniosynostosis-treatment	Created
Nov 30, 2025	UnitedHealthcare	Pharmacogenetic Panel TestingPayerPolicy · UHC-POL-pharmacogenetic-testing	Created
Nov 30, 2025	UnitedHealthcare	Parsabiv (Etelcalcetide)PayerPolicy · UHC-POL-parsabiv-etelcalcetide	Created
Nov 30, 2025	UnitedHealthcare	Percutaneous Neuroablation for Pancreatic Cancer Pain, Severe Cancer Pain, and Trigeminal NeuralgiaPayerPolicy · UHC-POL-percutaneous-neuroablation-cancer-pain-trigeminal-neuralgia	Created
Nov 30, 2025	UnitedHealthcare	Oxlumo (Lumasiran) and Rivfloza (Nedosiran)PayerPolicy · UHC-POL-oxlumo	Created