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 | Mechanical Stretching Devices for the Treatment of Joint Stiffness or ContracturesPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-70 | New policy |
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| Aug 2, 2026 | AmeriHealth | Measurement of Serum Antibodies to and Measurement of Serum Levels of BiologicsPayerPolicy · AMERIHEALTH-COMMERCIAL-06-02-39D-8DCA1345D5 | New policy |
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| Aug 2, 2026 | AmeriHealth | Measurement of Exhaled Nitric Oxide and Breath Condensate in the Diagnosis and Management of Asthma and Other Respiratory DisordersPayerPolicy · AMERIHEALTH-COMMERCIAL-07-11-02 | New policy |
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| Aug 2, 2026 | AmeriHealth | Marijuana for Medical UsePayerPolicy · AMERIHEALTH-COMMERCIAL-00-01-48 | New policy |
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| Aug 2, 2026 | AmeriHealth | Margetuximab-cmkb (Margenza)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-75 | New policy |
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| Aug 2, 2026 | AmeriHealth | Manual WheelchairsPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-12 | New policy |
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| Aug 2, 2026 | AmeriHealth | Manipulation Under AnesthesiaPayerPolicy · AMERIHEALTH-COMMERCIAL-11-14-24 | New policy |
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| Aug 2, 2026 | AmeriHealth | Maintenance Treatment of Opioid or Alcohol Use DisorderPayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-37 | New policy |
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| Aug 2, 2026 | AmeriHealth | Magnetic Resonance Imaging (MRI)-Guided Focused Ultrasound AblationPayerPolicy · AMERIHEALTH-COMMERCIAL-11-06-06 | New policy |
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| Aug 2, 2026 | AmeriHealth | Magnetic Resonance Imaging (MRI) Contrast AgentsPayerPolicy · AMERIHEALTH-COMMERCIAL-09-00-45 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lyme Disease: Diagnosis and Intravenous (IV) Antibiotic TherapyPayerPolicy · AMERIHEALTH-COMMERCIAL-06-02-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lutathera (Lutetium Lu 177 Dotatate) (AmeriHealth Administrators)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-57 | New policy |
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| Aug 2, 2026 | AmeriHealth | Luspatercept–aamt (Reblozyl)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-00-10 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lurbinectedin (Zepzelca)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-67 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lumasiran (Oxlumo)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-74C-EF498BF9C7 | New policy |
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| Aug 2, 2026 | AmeriHealth | Low Osmolar Contrast AgentsPayerPolicy · AMERIHEALTH-COMMERCIAL-09-00-31 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lower Limb ProsthesesPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-59 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lovotibeglogene autotemcel (Lyfgenia)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-02-15 | New policy |
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| Aug 2, 2026 | AmeriHealth | Loncastuximab tesirine-lpyl (Zynlonta)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-00-59 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lipectomy and LiposuctionPayerPolicy · AMERIHEALTH-COMMERCIAL-11-08-03 | New policy |
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| Aug 2, 2026 | AmeriHealth | linvoseltamab-gcpt (Lynozyfic)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-02-47 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lifileucel (Amtagvi)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-02-22 | New policy |
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| Aug 2, 2026 | AmeriHealth | Level of Care for Elective Procedures (Hospital Inpatient to Hospital Outpatient Level of Care)PayerPolicy · AMERIHEALTH-COMMERCIAL-12-06-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | Leuprolide (Camcevi, Camcevi ETM, Eligard, Fensolvi, Lupron Depot)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-33 | New policy |
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| Aug 2, 2026 | AmeriHealth | Leadless PacemakersPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-85 | New policy |
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| Aug 2, 2026 | AmeriHealth | Laser Interstitial Thermal Therapy (LITT)PayerPolicy · AMERIHEALTH-COMMERCIAL-07-03-28-674AC5CA7B | New policy |
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| Aug 2, 2026 | AmeriHealth | Laparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid MyolysisPayerPolicy · AMERIHEALTH-COMMERCIAL-11-06-10 | New policy |
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| Aug 2, 2026 | AmeriHealth | Lanreotide (Somatuline Depot)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-40H-490B362EE8 | New policy |
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| Aug 2, 2026 | AmeriHealth | Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) ProductsPayerPolicy · AMERIHEALTH-COMMERCIAL-00-03-07AS-F8608F623E | New policy |
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| Aug 2, 2026 | AmeriHealth | LabiaplastyPayerPolicy · AMERIHEALTH-COMMERCIAL-11-06-09 | New policy |
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| Aug 2, 2026 | AmeriHealth | Knee OrthosesPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-47 | New policy |
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| Aug 2, 2026 | AmeriHealth | Islet Cell Transplantation, including use of Donislecel-jujn (Lantidra)PayerPolicy · AMERIHEALTH-COMMERCIAL-11-04-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | Isatuximab-irfc (Sarclisa)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-00-46 | New policy |
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| Aug 2, 2026 | AmeriHealth | Ipilimumab (Yervoy)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-01 | New policy |
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| Aug 2, 2026 | AmeriHealth | In Vivo Allergy Sensitivity TestingPayerPolicy · AMERIHEALTH-COMMERCIAL-07-00-05 | New policy |
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| Aug 2, 2026 | AmeriHealth | In Vitro Chemosensitivity and Chemoresistance AssaysPayerPolicy · AMERIHEALTH-COMMERCIAL-06-02-14 | New policy |
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| Aug 2, 2026 | AmeriHealth | In Vitro Allergy TestingPayerPolicy · AMERIHEALTH-COMMERCIAL-06-02-26 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravitreal Injection of Vascular Endothelial Growth Factor (VEGF) Antagonists, VEGF Biosimilars, and Combination VEGF/Angiopoietin-2 (Ang-2) InhibitorsPayerPolicy · AMERIHEALTH-COMMERCIAL-08-00-74AC-7261815FF3 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous Ketamine (Ketalar) and Intranasal Esketamine (Spravato)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-80 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous Infliximab and Related BiosimilarsPayerPolicy · AMERIHEALTH-COMMERCIAL-08-00-34 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous Chelation TherapyPayerPolicy · AMERIHEALTH-COMMERCIAL-07-00-02 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous (IV) Iron PreparationsPayerPolicy · AMERIHEALTH-COMMERCIAL-08-02-29 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intravenous (IV) Administration of Fluids as a Treatment of a Medical Condition or for the Preparation of Pharmaceuticals, Biologics, and other SubstancesPayerPolicy · AMERIHEALTH-COMMERCIAL-00-01-45 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intraoperative Neurophysiological Monitoring (INM)PayerPolicy · AMERIHEALTH-COMMERCIAL-07-03-14 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intra-Articular Injection of Hyaluronan for the Treatment of OsteoarthritisPayerPolicy · AMERIHEALTH-COMMERCIAL-11-14-07 | New policy |
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| Aug 2, 2026 | AmeriHealth | Interleukin-5 (IL-5) Antagonist (e.g., Cinqair, Exdensur)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-23 | New policy |
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| Aug 2, 2026 | AmeriHealth | Intensity-Modulated Radiation Therapy (IMRT) (AmeriHealth Administrators)PayerPolicy · AMERIHEALTH-COMMERCIAL-09-00-17 | New policy |
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| Aug 2, 2026 | AmeriHealth | Insulin Pumps and Long-Term Interstitial Continuous Glucose Monitoring SystemsPayerPolicy · AMERIHEALTH-COMMERCIAL-05-00-79L-00EBABFCE8 | New policy |
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| Aug 2, 2026 | AmeriHealth | Instrument-Based Vision ScreeningPayerPolicy · AMERIHEALTH-COMMERCIAL-07-13-12 | New policy |
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| Aug 2, 2026 | AmeriHealth | Insertion of Implantable Infusion PumpsPayerPolicy · AMERIHEALTH-COMMERCIAL-11-15-03 | New policy |
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