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 | Florida Blue | Orthognathic SurgeryPayerPolicy · FLORIDA_BLUE-FLBLUE-ORTHOGNATHIC-SURGERY-F3505BCDB6 | New policy |
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| Aug 2, 2026 | Florida Blue | Blepharoplasty (Upper and Lower)PayerPolicy · FLORIDA_BLUE-FLBLUE-BLEPHAROPLASTY-UPPER-AND-LOWER-682C7F24AC | New policy |
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| Aug 2, 2026 | Florida Blue | TelemedicinePayerPolicy · FLORIDA_BLUE-FLBLUE-TELEMEDICINE-B6A8E3224A | New policy |
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| Aug 2, 2026 | Florida Blue | Human Papillomavirus (HPV) VaccinesPayerPolicy · FLORIDA_BLUE-FLBLUE-HUMAN-PAPILLOMAVIRUS-HPV-VACCINES-2043AF8959 | New policy |
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| Aug 2, 2026 | Florida Blue | Antineoplaston Therapy and Sodium PhenylbutyratePayerPolicy · FLORIDA_BLUE-FLBLUE-ANTINEOPLASTON-THERAPY-AND-SODIUM-PHENYLBUTYRATE-45EC9B34E1 | New policy |
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| Aug 2, 2026 | Florida Blue | Implantable Hormone Pellets for FemalesPayerPolicy · FLORIDA_BLUE-FLBLUE-IMPLANTABLE-HORMONE-PELLETS-FOR-FEMALES-E2E9DA501A | New policy |
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| Aug 2, 2026 | Florida Blue | Assignment Guidelines and Assignment ConflictsPayerPolicy · FLORIDA_BLUE-FLBLUE-ASSIGNMENT-GUIDELINES-AND-ASSIGNMENT-CONFLICTS-1774676DD3 | New policy |
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| Aug 2, 2026 | Florida Blue | Contraceptive ManagementPayerPolicy · FLORIDA_BLUE-FLBLUE-CONTRACEPTIVE-MANAGEMENT-A691CF0B4F | New policy |
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| Aug 2, 2026 | Florida Blue | Influenza VaccinePayerPolicy · FLORIDA_BLUE-FLBLUE-INFLUENZA-VACCINE-7B6A827D94 | New policy |
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| Aug 2, 2026 | Florida Blue | Neuromuscular Electrical Stimulation (NMES)PayerPolicy · FLORIDA_BLUE-FLBLUE-NEUROMUSCULAR-ELECTRICAL-STIMULATION-NMES-CEB54973ED | New policy |
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| Aug 2, 2026 | Florida Blue | Anesthesia ServicesPayerPolicy · FLORIDA_BLUE-FLBLUE-ANESTHESIA-SERVICES-0C2E1F0269 | New policy |
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| Aug 2, 2026 | Florida Blue | Alternative Treatment PlanPayerPolicy · FLORIDA_BLUE-FLBLUE-ALTERNATIVE-TREATMENT-PLAN-8CF8D04F65 | New policy |
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| Aug 2, 2026 | Florida Blue | Allergy ImmunotherapyPayerPolicy · FLORIDA_BLUE-FLBLUE-ALLERGY-IMMUNOTHERAPY-BA74455878 | New policy |
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| Aug 2, 2026 | Florida Blue | Administrative Charges for Medical ServicesPayerPolicy · FLORIDA_BLUE-FLBLUE-ADMINISTRATIVE-CHARGES-FOR-MEDICAL-SERVICES-602A176974 | New policy |
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| Aug 2, 2026 | Florida Blue | Advanced Approval WaiverPayerPolicy · FLORIDA_BLUE-FLBLUE-ADVANCED-APPROVAL-WAIVER-34AECBFC79 | New policy |
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| Aug 2, 2026 | Fallon Health | Well baby/well child care visits payment policyPayerPolicy · FALLON-PAYMENT-POLICY-WELL-BABY-WELL-CHILD-CARE-VISITS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Vision services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-VISION-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Ventricular assist devices payment policyPayerPolicy · FALLON-PAYMENT-POLICY-VENTRICULAR-ASSIST-DEVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Vaccine payment policyPayerPolicy · FALLON-PAYMENT-POLICY-VACCINE-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Unlisted procedures and services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-UNLISTED-PROCEDURES-AND-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Transportation services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-TRANSPORTATION-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Transplant payment policyPayerPolicy · FALLON-PAYMENT-POLICY-TRANSPLANT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Timely filing payment policyPayerPolicy · FALLON-PAYMENT-POLICY-TIMELY-FILING-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Telehealth - MassHealth ACOPayerPolicy · FALLON-PAYMENT-POLICY-TELEHEALTH-MASSHEALTH-ACO | New policy |
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| Aug 2, 2026 | Fallon Health | Telehealth - Community CarePayerPolicy · FALLON-PAYMENT-POLICY-TELEHEALTH-COMMUNITY-CARE | New policy |
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| Aug 2, 2026 | Fallon Health | Speech therapy payment policyPayerPolicy · FALLON-PAYMENT-POLICY-SPEECH-THERAPY-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Speech therapy payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-SPEECHTHERAPY030126 | New policy |
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| Aug 2, 2026 | Fallon Health | Sleep management services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-SLEEP-MANAGEMENT-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Skilled nursing facility payment policyPayerPolicy · FALLON-PAYMENT-POLICY-SKILLED-NURSING-FACILITY-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Short term custodial (STC) and long term care (LTC)PayerPolicy · FALLON-PAYMENT-POLICY-SHORT-TERM-CUSTODIAL-STC-AND-LONG-TERM-CARE-LTC | New policy |
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| Aug 2, 2026 | Fallon Health | Serious reportable events payment policyPayerPolicy · FALLON-PAYMENT-POLICY-SERIOUS-REPORTABLE-EVENTS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Sequestration payment policyPayerPolicy · FALLON-PAYMENT-POLICY-SEQUESTRATION-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Review of provider claims policyPayerPolicy · FALLON-PAYMENT-POLICY-REVIEW-OF-PROVIDER-CLAIMS-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Retroactive authorization requests payment policyPayerPolicy · FALLON-PAYMENT-POLICY-RETROACTIVE-AUTHORIZATION-REQUESTS-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Renal dialysis services (including hemodialysis)PayerPolicy · FALLON-PAYMENT-POLICY-RENAL-DIALYSIS-SERVICES-INCLUDING-HEMODIALYSIS | New policy |
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| Aug 2, 2026 | Fallon Health | Remote patient monitoring (formerly known as COVID-19 Remote Patient Monitoring)PayerPolicy · FALLON-PAYMENT-POLICY-REMOTE-PATIENT-MONITORING-FORMERLY-KNOWN-AS-COVID-19-REMOTE-PATI | New policy |
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| Aug 2, 2026 | Fallon Health | Registered nurse first assistant payment policyPayerPolicy · FALLON-PAYMENT-POLICY-REGISTERED-NURSE-FIRST-ASSISTANT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Radiology/diagnostic imaging payment policyPayerPolicy · FALLON-PAYMENT-POLICY-RADIOLOGY-DIAGNOSTIC-IMAGING-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Preventive services payment policyPayerPolicy · FALLON-PAYMENT-POLICY-PREVENTIVE-SERVICES-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Preventive services payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-PREVENTIVESVCS030126 | New policy |
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| Aug 2, 2026 | Fallon Health | Preoperative autologous blood donation payment policyPayerPolicy · FALLON-PAYMENT-POLICY-PREOPERATIVE-AUTOLOGOUS-BLOOD-DONATION-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Post-operative nasal debridement payment policyPayerPolicy · FALLON-PAYMENT-POLICY-POST-OPERATIVE-NASAL-DEBRIDEMENT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Podiatry payment policyPayerPolicy · FALLON-PAYMENT-POLICY-PODIATRY-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Physician assistant payment policyPayerPolicy · FALLON-PAYMENT-POLICY-PHYSICIAN-ASSISTANT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Physical and occupational therapy (PT/OT) payment policyPayerPolicy · FALLON-PAYMENT-POLICY-PHYSICAL-AND-OCCUPATIONAL-THERAPY-PT-OT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Physical and occupational therapy (PT/OT) payment policy - Current policyPayerPolicy · FALLON-PAYMENT-POLICY-PTOT030126 | New policy |
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| Aug 2, 2026 | Fallon Health | Personal care attendant payment policyPayerPolicy · FALLON-PAYMENT-POLICY-PERSONAL-CARE-ATTENDANT-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Palliative care consultation payment policyPayerPolicy · FALLON-PAYMENT-POLICY-PALLIATIVE-CARE-CONSULTATION-PAYMENT-POLICY | New policy |
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| Aug 2, 2026 | Fallon Health | Oxygen and oxygen equipmentPayerPolicy · FALLON-PAYMENT-POLICY-OXYGEN-AND-OXYGEN-EQUIPMENT | New policy |
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| Aug 2, 2026 | Fallon Health | Obstetrics/gynecology payment policyPayerPolicy · FALLON-PAYMENT-POLICY-OBSTETRICS-GYNECOLOGY-PAYMENT-POLICY | New policy |
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