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 | EmblemHealth | Intraoperative Radiation Therapy for Breast CancerPayerPolicy · EMBLEMHEALTH-INTRAOPERATIVE-RADIATION-THERAPY-FOR-BREAST-C | New policy |
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| Aug 2, 2026 | EmblemHealth | Interspinous Distraction DevicesPayerPolicy · EMBLEMHEALTH-INTERSPINOUS-DISTRACTION-DEVICES | New policy |
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| Aug 2, 2026 | EmblemHealth | Insulin Delivery Devices and Continuous Glucose Monitoring SystemsPayerPolicy · EMBLEMHEALTH-INSULIN-DELIVERY-DEVICES-AND-CONTINUOUS-GLUCO | New policy |
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| Aug 2, 2026 | EmblemHealth | Infertility Services – CommercialPayerPolicy · EMBLEMHEALTH-INFERTILITY-SERVICES-COMMERCIAL | New policy |
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| Aug 2, 2026 | EmblemHealth | Implantable Cardioverter DefibrillatorsPayerPolicy · EMBLEMHEALTH-IMPLANTABLE-CARDIOVERTER-DEFIBRILLATORS | New policy |
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| Aug 2, 2026 | EmblemHealth | Hyperbaric Oxygen TherapyPayerPolicy · EMBLEMHEALTH-HYPERBARIC-OXYGEN-THERAPY | New policy |
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| Aug 2, 2026 | EmblemHealth | Home Uterine Activity MonitoringPayerPolicy · EMBLEMHEALTH-HOME-UTERINE-ACTIVITY-MONITORING | New policy |
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| Aug 2, 2026 | EmblemHealth | Home Infusion Therapy—Registered NursePayerPolicy · EMBLEMHEALTH-HOME-INFUSION-THERAPYREGISTERED-NURSE | New policy |
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| Aug 2, 2026 | EmblemHealth | Home Birth Midwifery ServicesPayerPolicy · EMBLEMHEALTH-HOME-BIRTH-MIDWIFERY-SERVICES | New policy |
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| Aug 2, 2026 | EmblemHealth | Glaucoma SurgeryPayerPolicy · EMBLEMHEALTH-GLAUCOMA-SURGERY | New policy |
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| Aug 2, 2026 | EmblemHealth | Gene Expression Profiling and Biomarker Testing for Breast CancerPayerPolicy · EMBLEMHEALTH-GENE-EXPRESSION-PROFILING-AND-BIOMARKER-TESTI | New policy |
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| Aug 2, 2026 | EmblemHealth | Gene Expression ProfilingPayerPolicy · EMBLEMHEALTH-GENE-EXPRESSION-PROFILING | New policy |
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| Aug 2, 2026 | EmblemHealth | Gender Affirming SurgeryPayerPolicy · EMBLEMHEALTH-GENDER-AFFIRMING-SURGERY | New policy |
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| Aug 2, 2026 | EmblemHealth | Fetal SurgeryPayerPolicy · EMBLEMHEALTH-FETAL-SURGERY | New policy |
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| Aug 2, 2026 | EmblemHealth | Fecal Incontinence TreatmentPayerPolicy · EMBLEMHEALTH-FECAL-INCONTINENCE-TREATMENT | New policy |
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| Aug 2, 2026 | EmblemHealth | Dorsal Column Stimulator for Pain ManagementPayerPolicy · EMBLEMHEALTH-DORSAL-COLUMN-STIMULATOR-FOR-PAIN-MANAGEMENT | New policy |
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| Aug 2, 2026 | EmblemHealth | DermabrasionPayerPolicy · EMBLEMHEALTH-DERMABRASION | New policy |
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| Aug 2, 2026 | EmblemHealth | Dental Trauma Guidelines for Medical PlanPayerPolicy · EMBLEMHEALTH-DENTAL-TRAUMA-GUIDELINES-FOR-MEDICAL-PLAN | New policy |
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| Aug 2, 2026 | EmblemHealth | Dental Care or Treatment Necessary Due to Congenital DiseasePayerPolicy · EMBLEMHEALTH-DENTAL-CARE-OR-TREATMENT-NECESSARY-DUE-TO-CON | New policy |
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| Aug 2, 2026 | EmblemHealth | Cosmetic and Reconstructive Surgery ProceduresPayerPolicy · EMBLEMHEALTH-COSMETIC-AND-RECONSTRUCTIVE-SURGERY-PROCEDURE | New policy |
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| Aug 2, 2026 | EmblemHealth | Cortical Stimulation for Epilepsy (NeuroPace)PayerPolicy · EMBLEMHEALTH-CORTICAL-STIMULATION-FOR-EPILEPSY-NEUROPACE | New policy |
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| Aug 2, 2026 | EmblemHealth | Cochlear and Other Auditory ImplantsPayerPolicy · EMBLEMHEALTH-COCHLEAR-AND-OTHER-AUDITORY-IMPLANTS | New policy |
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| Aug 2, 2026 | EmblemHealth | Clinical Trials/Experimental/Investigational Procedure/Treatments/Rare Disease Treatment — Commercial and MedicaidPayerPolicy · EMBLEMHEALTH-CLINICAL-TRIALS-EXPERIMENTAL-INVESTIGATIONAL | New policy |
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| Aug 2, 2026 | EmblemHealth | Clinical Trials — MedicarePayerPolicy · EMBLEMHEALTH-CLINICAL-TRIALS-MEDICARE | New policy |
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| Aug 2, 2026 | EmblemHealth | Chemical PeelsPayerPolicy · EMBLEMHEALTH-CHEMICAL-PEELS | New policy |
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| Aug 2, 2026 | EmblemHealth | Carrier Screening for Parents or Prospective ParentsPayerPolicy · EMBLEMHEALTH-CARRIER-SCREENING-FOR-PARENTS-OR-PROSPECTIVE | New policy |
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| Aug 2, 2026 | EmblemHealth | Cardiac Event MonitorsPayerPolicy · EMBLEMHEALTH-CARDIAC-EVENT-MONITORS | New policy |
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| Aug 2, 2026 | EmblemHealth | Breast Reduction MammoplastyPayerPolicy · EMBLEMHEALTH-BREAST-REDUCTION-MAMMOPLASTY | New policy |
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| Aug 2, 2026 | EmblemHealth | Breast Implants and ReconstructionPayerPolicy · EMBLEMHEALTH-BREAST-IMPLANTS-AND-RECONSTRUCTION | New policy |
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| Aug 2, 2026 | EmblemHealth | BlepharoplastyPayerPolicy · EMBLEMHEALTH-BLEPHAROPLASTY | New policy |
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| Aug 2, 2026 | EmblemHealth | Biomagnetic TherapyPayerPolicy · EMBLEMHEALTH-BIOMAGNETIC-THERAPY | New policy |
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| Aug 2, 2026 | EmblemHealth | Bariatric SurgeryPayerPolicy · EMBLEMHEALTH-BARIATRIC-SURGERY | New policy |
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| Aug 2, 2026 | EmblemHealth | Balloon SinuplastyPayerPolicy · EMBLEMHEALTH-BALLOON-SINUPLASTY | New policy |
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| Aug 2, 2026 | EmblemHealth | Autologous Chondrocyte ImplantationPayerPolicy · EMBLEMHEALTH-AUTOLOGOUS-CHONDROCYTE-IMPLANTATION | New policy |
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| Aug 2, 2026 | EmblemHealth | Artificial Intervertebral DiscsPayerPolicy · EMBLEMHEALTH-ARTIFICIAL-INTERVERTEBRAL-DISCS | New policy |
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| Aug 2, 2026 | EmblemHealth | Application of Bioengineered Skin SubstitutesPayerPolicy · EMBLEMHEALTH-APPLICATION-OF-BIOENGINEERED-SKIN-SUBSTITUTES | New policy |
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| Aug 2, 2026 | EmblemHealth | Anesthesia for Dental Procedures and Oral and Maxillofacial Surgery — New YorkPayerPolicy · EMBLEMHEALTH-ANESTHESIA-FOR-DENTAL-PROCEDURES-AND-ORAL-AND | New policy |
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| Aug 2, 2026 | EmblemHealth | Analysis of KRAS StatusPayerPolicy · EMBLEMHEALTH-ANALYSIS-OF-KRAS-STATUS | New policy |
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| Aug 2, 2026 | EmblemHealth | Acupuncture - EmblemHealth Medicare HMO Plans with Acupuncture BenefitPayerPolicy · EMBLEMHEALTH-ACUPUNCTURE-EMBLEMHEALTH-MEDICARE-HMO-PLANS-W | New policy |
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| Aug 2, 2026 | EmblemHealth | Abdominoplasty/PanniculectomyPayerPolicy · EMBLEMHEALTH-ABDOMINOPLASTY-PANNICULECTOMY | New policy |
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| Aug 2, 2026 | Clover Health | Utilization Management Committee PolicyPayerPolicy · CLOVER-UM-UM-032 | New policy |
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| Aug 2, 2026 | Clover Health | Reopenings for organization determinationsPayerPolicy · CLOVER-UM-UM-016 | New policy |
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| Aug 2, 2026 | Clover Health | Prior Authorizations Organizations DeterminationsPayerPolicy · CLOVER-UM-UM-001 | New policy |
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| Aug 2, 2026 | Clover Health | Post Stabilization PolicyPayerPolicy · CLOVER-UM-UM-025 | New policy |
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| Aug 2, 2026 | Clover Health | Pharmacogenomic (PGx) Testing Clinical PolicyPayerPolicy · CLOVER-UM-UM-034-PHARMACOGENOMIC-PGX-TESTING-CLINICAL-POLICY | New policy |
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| Aug 2, 2026 | Clover Health | Peer-to-peer reviewPayerPolicy · CLOVER-UM-UM-004 | New policy |
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| Aug 2, 2026 | Clover Health | OASIS Form Clinical PolicyPayerPolicy · CLOVER-UM-UM-035 | New policy |
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| Aug 2, 2026 | Clover Health | Medical Necessity Guidelines for Coverage DeterminationPayerPolicy · CLOVER-UM-UM-026 | New policy |
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| Aug 2, 2026 | Clover Health | IP-PreService Auths not on the CMS IPO list criteriaPayerPolicy · CLOVER-UM-UM-018 | New policy |
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| Aug 2, 2026 | Clover Health | GLP-1 Receptor Agonists and Dual Mechanism - GIP Receptor and GLP-1 Receptor Agonists, for Type II DiabetesPayerPolicy · CLOVER-UM-UM-033 | New policy |
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