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 |
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| Aug 2, 2026 | AmeriHealth | Surgical Correction of StrabismusPayerPolicy · AMERIHEALTH-COMMERCIAL-11-05-07 | New policy |
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| Aug 2, 2026 | AmeriHealth | Surgical and Minimally Invasive Treatments for Urinary Outlet Obstruction due to Benign Prostatic Hyperplasia (BPH)PayerPolicy · AMERIHEALTH-COMMERCIAL-11-17-06W-1239F67146 | New policy |
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| Aug 2, 2026 | AmeriHealth | Surgery for GynecomastiaPayerPolicy · AMERIHEALTH-COMMERCIAL-11-08-12 | New policy |
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| Aug 2, 2026 | AmeriHealth | Steroid-Eluting Sinus Stents and ImplantsPayerPolicy · AMERIHEALTH-COMMERCIAL-11-16-08F-F146EE5AEE | New policy |
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| Aug 2, 2026 | AmeriHealth | Stem-Cell Therapy/Platelet-Rich Plasma for Orthopedic Applications and Platelet-Rich Plasma/Platelet-Derived Growth Factor for Wound Healing and Other Miscellaneous Non-Orthopedic ConditionsPayerPolicy · AMERIHEALTH-COMMERCIAL-07-07-09 | New policy |
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| Aug 2, 2026 | AmeriHealth | STAT Laboratory Tests Performed in the Outpatient Hospital Setting for Health Maintenance Organization (HMO) and Point of Service (POS) ProductsPayerPolicy · AMERIHEALTH-COMMERCIAL-00-01-41 | New policy |
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| Aug 2, 2026 | AmeriHealth | Standing FramesPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-71 | New policy |
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| Aug 2, 2026 | AmeriHealth | Spinal Laminectomy (Amerihealth Administrators)PayerPolicy · AMERIHEALTH-COMMERCIAL-11-14-28 | New policy |
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| Aug 2, 2026 | AmeriHealth | Spinal Fusion (Amerihealth Administrators)PayerPolicy · AMERIHEALTH-COMMERCIAL-11-14-27 | New policy |
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| Aug 2, 2026 | AmeriHealth | Spinal Discectomy (AmeriHealth Administrators)PayerPolicy · AMERIHEALTH-COMMERCIAL-11-14-29 | New policy |
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| Aug 2, 2026 | AmeriHealth | Spinal Decompression with Interspinous and Interlaminar DevicesPayerPolicy · AMERIHEALTH-COMMERCIAL-11-14-22 | New policy |
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| Aug 2, 2026 | AmeriHealth | Spinal Cord Ganglion and Dorsal Root Ganglion Stimulation (AmeriHealth Administrators)PayerPolicy · AMERIHEALTH-COMMERCIAL-11-15-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | Spesolimab-sbzo (Spevigo)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-97 | New policy |
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| Aug 2, 2026 | AmeriHealth | Speech TherapyPayerPolicy · AMERIHEALTH-COMMERCIAL-10-06-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | Speech and Non-Speech Generating DevicesPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-32 | New policy |
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| Aug 2, 2026 | AmeriHealth | Solid Organ Transplantation and Procurement Cost of Organs and TissuesPayerPolicy · AMERIHEALTH-COMMERCIAL-11-00-09 | New policy |
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| Aug 2, 2026 | AmeriHealth | Sleep Disorder Testing and Positive Airway Pressure Therapy Services and SuppliesPayerPolicy · AMERIHEALTH-COMMERCIAL-07-03-05AB-273C9EF5E3 | New policy |
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| Aug 2, 2026 | AmeriHealth | Skilled Nursing Facility (SNF): Skilled and Subacute Levels of CarePayerPolicy · AMERIHEALTH-COMMERCIAL-02-03-00 | New policy |
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| Aug 2, 2026 | AmeriHealth | Site of Care for Elective Procedures [Hospital Outpatient Setting to Ambulatory Surgical Center (ASC)]PayerPolicy · AMERIHEALTH-COMMERCIAL-12-06-00 | New policy |
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| Aug 2, 2026 | AmeriHealth | Short-term Interstitial Continuous Glucose Monitoring Systems (CGMS)PayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-24S-CE8E91380C | New policy |
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| Aug 2, 2026 | AmeriHealth | Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care ProvidersPayerPolicy · AMERIHEALTH-COMMERCIAL-00-10-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | Serodiagnosis of Inflammatory Bowel Disease (IBD) and the Prometheus IBD sgi Diagnostic TestPayerPolicy · AMERIHEALTH-COMMERCIAL-06-02-17 | New policy |
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| Aug 2, 2026 | AmeriHealth | Sentinel Lymph Node Biopsy and MappingPayerPolicy · AMERIHEALTH-COMMERCIAL-11-07-02 | New policy |
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| Aug 2, 2026 | AmeriHealth | Self-Administered Drugs and BiologicsPayerPolicy · AMERIHEALTH-COMMERCIAL-08-00-78 | New policy |
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| Aug 2, 2026 | AmeriHealth | Selective Photothermolysis Using Pulsed-Dye Lasers (PDL)PayerPolicy · AMERIHEALTH-COMMERCIAL-11-08-04 | New policy |
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| Aug 2, 2026 | AmeriHealth | Secukinumab (Cosentyx) for Intravenous UsePayerPolicy · AMERIHEALTH-COMMERCIAL-08-02-28 | New policy |
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| Aug 2, 2026 | AmeriHealth | Sebelipase alfa (Kanuma)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-28 | New policy |
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| Aug 2, 2026 | AmeriHealth | Seat Lift MechanismsPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-43 | New policy |
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| Aug 2, 2026 | AmeriHealth | Screening for Vertebral Fracture with Dual-Energy X-ray Absorptiometry (DEXA/DXA)PayerPolicy · AMERIHEALTH-COMMERCIAL-09-00-40 | New policy |
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| Aug 2, 2026 | AmeriHealth | Scar RevisionPayerPolicy · AMERIHEALTH-COMMERCIAL-11-08-25 | New policy |
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| Aug 2, 2026 | AmeriHealth | Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)PayerPolicy · AMERIHEALTH-COMMERCIAL-07-13-06 | New policy |
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| Aug 2, 2026 | AmeriHealth | Sacral Nerve Stimulation (SNS) and Posterior Tibial Nerve Stimulation (PTNS) for the Control of IncontinencePayerPolicy · AMERIHEALTH-COMMERCIAL-11-17-04 | New policy |
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| Aug 2, 2026 | AmeriHealth | Sacituzumab govitecan-hziy (Trodelvy)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-60 | New policy |
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| Aug 2, 2026 | AmeriHealth | Rozanolixizumab-noli (Rystiggo)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-02-08 | New policy |
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| Aug 2, 2026 | AmeriHealth | Routine Foot Care for Certain Medical ConditionsPayerPolicy · AMERIHEALTH-COMMERCIAL-07-07-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | Routine Costs Associated with Qualifying Clinical TrialsPayerPolicy · AMERIHEALTH-COMMERCIAL-07-00-20 | New policy |
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| Aug 2, 2026 | AmeriHealth | Routine/Non-routine VaccinesPayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-04 | New policy |
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| Aug 2, 2026 | AmeriHealth | Rituximab (Rituxan) Infusion and Related Biosimilars, and Rituximab/Hyaluronidase Human for Subcutaneous Injection (Rituxan Hycela)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-00-50 | New policy |
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| Aug 2, 2026 | AmeriHealth | Risankizumab-rzaa (Skyrizi) for Intravenous UsePayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-95 | New policy |
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| Aug 2, 2026 | AmeriHealth | Rhytidectomy and/or Cervicoplasty With or Without Liposuction and/or PlatysmaplastyPayerPolicy · AMERIHEALTH-COMMERCIAL-11-08-13 | New policy |
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| Aug 2, 2026 | AmeriHealth | Revakinagene taroretcel-lwey (Encelto)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-02-44 | New policy |
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| Aug 2, 2026 | AmeriHealth | Retifanlimab-dlwr (Zynyz)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-02-05 | New policy |
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| Aug 2, 2026 | AmeriHealth | Repository Corticotropin Injection (Acthar Gel, Purified Cortrophin Gel)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-12 | New policy |
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| Aug 2, 2026 | AmeriHealth | Reporting Requirements for Drugs and BiologicsPayerPolicy · AMERIHEALTH-COMMERCIAL-00-01-49 | New policy |
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| Aug 2, 2026 | AmeriHealth | Reporting and Documentation Requirements for Anesthesia ServicesPayerPolicy · AMERIHEALTH-COMMERCIAL-00-01-14 | New policy |
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| Aug 2, 2026 | AmeriHealth | Repair or Replacement of an External Prosthetic DevicePayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-45 | New policy |
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| Aug 2, 2026 | AmeriHealth | Repair of Cleft Lip, Cleft Nose, and/or Cleft PalatePayerPolicy · AMERIHEALTH-COMMERCIAL-11-03-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | Repair and Replacement of Durable Medical Equipment (DME) and Prosthetic DevicesPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-44 | New policy |
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| Aug 2, 2026 | AmeriHealth | Renal Denervation for Uncontrolled HypertensionPayerPolicy · AMERIHEALTH-COMMERCIAL-11-02-29 | New policy |
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| Aug 2, 2026 | AmeriHealth | Removal of Breast ImplantsPayerPolicy · AMERIHEALTH-COMMERCIAL-11-08-14 | New policy |
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