Policy changes Backwork has recorded, newest first. The most recent change on record is from October 2, 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.
82,180 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| Oct 2, 2026 | EviCore by Evernorth | Clinical Information to Establish Medical Necessity | Metadata changed |
| Oct 2, 2026 | EviCore by Evernorth | Clinical Information to Establish Medical Necessity | Metadata changed |
| Oct 2, 2026 | EviCore by Evernorth | Clinical Information to Establish Medical Necessity | Metadata changed |
| Oct 2, 2026 | EviCore by Evernorth | Clinical Information to Establish Medical Necessity | Metadata changed |
| Oct 2, 2026 | EviCore by Evernorth | Clinical Information to Establish Medical Necessity | Metadata changed |
| Oct 2, 2026 | EviCore by Evernorth | Clinical Information to Establish Medical Necessity Guideline | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Zoledronic Acid (Zometa) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Zoledronic Acid (Reclast) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Zanidatamab-hrii (Ziihera) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Ziv-Aflibercept (Zaltrap) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Zolbetuximab-clzb (Vyloy) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Vulvectomy | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Viltolarsen (Viltepso) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Verteporfin (Visudyne) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Velaglucerase Alfa (VPRIV) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral Medications for Hepatitis C | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Upper Limb Myoelectric Orthosis | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Triptorelin (Triptodur) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Triamcinolone Acetonide Injectable Suspension (Xipere) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Triptorelin Pamoate (Trelstar) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Transcranial Magnetic Stimulation (TMS) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Trabectedin (Yondelis) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Total Artificial Heart (TAH) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Tisotumab Vedotin-tftv (Tivdak) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Treatment of Tinnitus | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Thyrotropin Alfa (Thyrogen) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Transpupillary Thermotherapy (TTT) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Thermography | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Tezepelumab-ekko (Tezspire) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Tislelizumab-jsgr (Tevimbra) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Testosterone Product: (Testosterone Pellets [Testopel]) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Teplizumab-mzwv (Tzield) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Teprotumumab-trbw (Tepezza) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Temsirolimus (Torisel) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Temozolomide (Temodar) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Teclistamab-cqyv (Tecvayli) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Talquetamab-tgvs(Talvey) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Treatments for Athletic Groin Pain | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Stem Cell Therapy for Peripheral Artery Disease | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Ustekinumab Products: Ustekinumab (Stelara); Ustekinumab-auub (Wezlana); Ustekinumab-srlf (Imuldosa); Ustekinumab-aauz (Otulfi); Ustenkinumab-ttwe (Pyzchiva), Ustekinumab-aekn (Selarsdi); Ustenkinumab-stba (Steqeyma); Ustenkinumba-kfce (Yesintek); ustekinumab; ustekinumab-aauz, ustekinumab-stba, ustekinumab-aekn ; ustenkinumab-ttwe; Ustekinumab-hmny (Starjemza) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Spesolimab-sbzo (Spevigo) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Sotatercept-csrk (Winrevair) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Siltuximab (Sylvant) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Signal Averaged Electrocardiography (SAECG) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Zoster Vaccine Recombinant, Adjuvanted | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Saturation Biopsy for Diagnosis and Staging of Prostate Cancer | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Sacituzumab Govitecan-hziy (Trodelvy) | Metadata changed |
| Oct 2, 2026 | BlueCross BlueShield of Tennessee | Rozanolixizumab‐noli (Rystiggo) | Metadata changed |