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 |
|---|
| Aug 1, 2026 | UnitedHealthcare | Surgery of the ElbowPayerPolicy · UHC-EXCH-MD-SURGERY-ELBOW | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Surgery of the AnklePayerPolicy · UHC-EXCH-MD-SURGERY-ANKLE | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Spevigo (Spesolimab-Sbzo) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SPEVIGO | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Sodium Hyaluronate – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SODIUM-HYALURONATE-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Sleep StudiesPayerPolicy · UHC-EXCH-MD-SLEEP-STUDIES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Skyrizi (Risankizumab-Rzaa) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SKYRIZI | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Skin and Soft Tissue SubstitutesPayerPolicy · UHC-EXCH-MD-SKIN-SOFT-TISSUE-SUBSTITUTES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Sinus Surgeries and InterventionsPayerPolicy · UHC-EXCH-MD-SINUS-SURGERIES-INTERVENTIONS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Screening Colonoscopy Procedures – Site of ServicePayerPolicy · UHC-EXCH-MD-SCREENING-COLONOSCOPY-PROCEDURES-SITE-SERVICE | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Scenesse (Afamelanotide) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SCENESSE | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Saphnelo (Anifrolumab-Fnia) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-SAPHNELO | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | RNA-Targeted Therapies (Amvuttra and Onpattro) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RNA-TARGETED-THERAPIES | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Rituximab (Riabni, Rituxan, Ruxience, & Truxima) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RITUXAN-RITUXIMAB-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Rhinoplasty and Other Nasal ProceduresPayerPolicy · UHC-EXCH-MD-RHINOPLASTY-OTHER-NASAL-SURGERIES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Respiratory Interleukins (Cinqair, Fasenra, & Nucala) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-RESPIRATORY-INTERLEUKINS-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Reblozyl (Luspatercept-Aamt) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-REBLOZYL | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Prostate Surgeries and InterventionsPayerPolicy · UHC-EXCH-MD-PROSTATE-SURGERY | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Private Duty Nursing ServicesPayerPolicy · UHC-EXCH-MD-PRIVATE-DUTY-NURSING-SERVICES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Preventive Care ServicesPayerPolicy · UHC-EXCH-MD-PREVENTIVE-CARE-SERVICES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Pneumatic Compression DevicesPayerPolicy · UHC-EXCH-MD-PNEUMATIC-COMPRESSION-DEVICES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Pharmacogenetic Panel TestingPayerPolicy · UHC-EXCH-MD-PHARMACOGENETIC-TESTING | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Panniculectomy SurgeryPayerPolicy · UHC-EXCH-MD-PANNICULECTOMY-BODY-CONTOURING-PROCEDURES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Oxlumo (Lumasiran) and Rivfloza (Nedosiran) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OXLUMO | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Outpatient Surgical Procedures – Site of ServicePayerPolicy · UHC-EXCH-MD-OUTPATIENT-SURG-PROCEDURES-SITE-SERVICE | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Orencia (Abatacept) Injection for Intravenous Infusion – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ORENCIA-ABATACEPT-INJECTION-INTRAVENOUS-INFUSION | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Ophthalmologic Vascular Endothelial Growth Factor (VEGF) Inhibitors – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OPHTHALMOLOGIC-VEGF-INHIBITORS-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Omnibus CodesPayerPolicy · UHC-EXCH-MD-OMNIBUS-CODES | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Office-Based Procedures – Site of ServicePayerPolicy · UHC-EXCH-MD-OFFICE-BASED-PROCEDURES-SITE-SERVICE | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Off-Label/Unproven Specialty Drug Treatment – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-OFF-LABEL-UNPROVEN-SPECIALTY-DRUG-TREATMENT | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Ocular PhotoscreeningPayerPolicy · UHC-EXCH-MD-OCULAR-PHOTOSCREENING | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)PayerPolicy · UHC-EXCH-MD-OCCIPITAL-NEURALGIA-HEADACHE-TREATMENT | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Noncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for WoundsPayerPolicy · UHC-EXCH-MD-NONCONTACT-WARMING-THERAPY-ULTRASOUND-THERAPY-WOUNDS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Negative Pressure Wound TherapyPayerPolicy · UHC-EXCH-MD-NEGATIVE-PRESSURE-WOUND-THERAPY | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Natalizumab (Tyruko & Tysabri) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-NATALIZUMAB-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Molecular Oncology Testing for Solid Tumor Cancer Diagnosis, Prognosis, and Treatment DecisionsPayerPolicy · UHC-EXCH-MD-MOLECULAR-ONCOLOGY-TESTING-FOR-CANCER | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Molecular Oncology Testing for Hematologic Cancer Diagnosis, Prognosis, and Treatment DecisionsPayerPolicy · UHC-EXCH-MD-MOLECULAR-ONCOLOGY-HEMATOLOGIC-CANCER-DIAGNOSIS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal DiseasesPayerPolicy · UHC-EXCH-MD-MINIMALLY-INVASIVE-PROCEDURES-GERD-ACHALASIA | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Maximum Dosage and Frequency – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-MAXIMUM-DOSAGE-POLICY | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Manipulative TherapyPayerPolicy · UHC-EXCH-MD-MANIPULATIVE-THERAPY | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Lower Extremity ProstheticsPayerPolicy · UHC-EXCH-MD-LOWER-EXTREMITY-PROSTHETICS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Leqvio (Inclisiran) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-LEQVIO-INCLISIRAN-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Korsuva (Difelikefalin) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KORSUVA | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Kebilidi (Eladocagene Exuparvovec-Tneq) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-KEBILIDI | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Itvisma (Onasemnogene Abeparvovec-Brve) – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ITVISMA | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Intravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INTRAVENOUS-ENZYME-REPLACEMENT-THERAPY-GAUCHER-DISEASE | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Intracanalicular and Intravitreal Corticosteroid Implants – Commercial and Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-INTRAVITREAL-CORTICOSTEROID-IMPLANTS | New policy |
|---|
| Aug 1, 2026 | UnitedHealthcare | Infertility Diagnosis, Treatment, and Fertility PreservationPayerPolicy · UHC-EXCH-MD-INFERTILITY-DIAGNOSIS-TREATMENT | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Implanted Spinal Drug Delivery SystemsPayerPolicy · UHC-EXCH-MD-IMPLANTED-SPINAL-DRUG-DELIVERY-SYSTEMS | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Immune Globulin (IVIG and SCIG) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-IMMUNE-GLOBULIN-IVIG-SCIG-IEX | Metadata changed |
|---|
| Aug 1, 2026 | UnitedHealthcare | Ilumya (Tildrakizumab-Asmn) – Individual Exchange Medical Benefit Drug PolicyPayerPolicy · UHC-EXCH-MD-ILUMYA-TILDRAKIZUMAB-IEX | Metadata changed |
|---|