Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
83,427 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 2, 2026 | Oscar Health | Child and Adolescent Level of Care/Service Intensity Utilization System (CALOCUS-CASII)PayerPolicy · OSCAR-CHILD-AND-ADOLESCENT-LEVEL-OF-CARE-SERVICE-IN-ADOPTED | New policy |
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| Aug 2, 2026 | Oscar Health | Child & Adolescent Service Intensity Instrument (CASII)PayerPolicy · OSCAR-CHILD-ADOLESCENT-SERVICE-INTENSITY-INSTRUMENT-ADOPTED | New policy |
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| Aug 2, 2026 | Oscar Health | Caremark Prior Authorization CriteriaPayerPolicy · OSCAR-CAREMARK-PRIOR-AUTHORIZATION-CRITERIA-DC9AB0ACEA | New policy |
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| Aug 2, 2026 | Oscar Health | American Specialty Health (ASH)PayerPolicy · OSCAR-AMERICAN-SPECIALTY-HEALTH-ASH-ADOPTED | New policy |
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| Aug 2, 2026 | Oscar Health | American Society of Addiction Medicine (ASAM)PayerPolicy · OSCAR-AMERICAN-SOCIETY-OF-ADDICTION-MEDICINE-ASAM-ADOPTED | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective January 1, 2021PayerPolicy · MVP-PAYMENT-20210101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective January 1, 2021PayerPolicy · MVP-PROVIDER-20210101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective April 1, 2021PayerPolicy · MVP-PAYMENT-20210401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective April 1, 2021PayerPolicy · MVP-PROVIDER-20210401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective July 1, 2021PayerPolicy · MVP-PAYMENT-20210701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective July 1, 2021PayerPolicy · MVP-PROVIDER-20210701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective October 1, 2021PayerPolicy · MVP-PAYMENT-20211001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective October 1, 2021PayerPolicy · MVP-PROVIDER-20211001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective January 1, 2022PayerPolicy · MVP-PAYMENT-20220101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective January 1, 2022PayerPolicy · MVP-PROVIDER-20220101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective April 1, 2022PayerPolicy · MVP-PROVIDER-20220401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective July 1, 2022PayerPolicy · MVP-PAYMENT-20220701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective July 1, 2022PayerPolicy · MVP-PROVIDER-20220701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective October 1, 2022PayerPolicy · MVP-PAYMENT-20221001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective October 1, 2022PayerPolicy · MVP-PROVIDER-20221001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective January 1, 2023PayerPolicy · MVP-PAYMENT-20230101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective January 1, 2023PayerPolicy · MVP-PROVIDER-20230101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective April 1, 2023PayerPolicy · MVP-PAYMENT-20230401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective April 1, 2023PayerPolicy · MVP-PROVIDER-20230401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective July 1, 2023PayerPolicy · MVP-PAYMENT-20230701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective July 1, 2023PayerPolicy · MVP-PROVIDER-20230701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective October 1, 2023PayerPolicy · MVP-PAYMENT-20231001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective October 1, 2023PayerPolicy · MVP-PROVIDER-20231001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective January 1, 2024PayerPolicy · MVP-PAYMENT-20240101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective January 1, 2024PayerPolicy · MVP-PROVIDER-20240101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective April 1, 2024PayerPolicy · MVP-PAYMENT-20240401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective April 1, 2024PayerPolicy · MVP-PROVIDER-20240401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective July 1, 2024PayerPolicy · MVP-PAYMENT-20240701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective July 1, 2024PayerPolicy · MVP-PROVIDER-20240701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Laboratory Policies, Effective August 15, 2024PayerPolicy · MVP-LABORATORY-20240815 | New policy |
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| Aug 2, 2026 | MVP Health Care | Laboratory Policies, Effective September 15, 2024PayerPolicy · MVP-LABORATORY-20240915 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective October 1, 2024PayerPolicy · MVP-PAYMENT-20241001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective October 1, 2024PayerPolicy · MVP-PROVIDER-20241001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective January 1, 2025PayerPolicy · MVP-PAYMENT-20250101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective January 1, 2025PayerPolicy · MVP-PROVIDER-20250101 | New policy |
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| Aug 2, 2026 | MVP Health Care | Laboratory Policies, Effective February 1, 2025PayerPolicy · MVP-LABORATORY-20250201 | New policy |
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| Aug 2, 2026 | MVP Health Care | Laboratory Policies, Effective April 1, 2025PayerPolicy · MVP-LABORATORY-20250401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective April 1, 2025PayerPolicy · MVP-PAYMENT-20250401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective April 1, 2025PayerPolicy · MVP-PROVIDER-20250401 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective July 1, 2025PayerPolicy · MVP-PAYMENT-20250701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective July 1, 2025PayerPolicy · MVP-PROVIDER-20250701 | New policy |
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| Aug 2, 2026 | MVP Health Care | Laboratory Policies, Effective August 1, 2025PayerPolicy · MVP-LABORATORY-20250801 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective October 1, 2025PayerPolicy · MVP-PAYMENT-20251001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Provider Policies, Effective October 1, 2025PayerPolicy · MVP-PROVIDER-20251001 | New policy |
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| Aug 2, 2026 | MVP Health Care | Payment Policies, Effective January 1, 2026PayerPolicy · MVP-PAYMENT-20260101 | New policy |
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