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 1, 2026 | UnitedHealthcare | Encelto (Revakinagene Taroretcel-Lwey) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ENCELTOTM-REVAKINAGENE-TARORETCEL-LWEY-C-EBDA4EB724 | Retired |
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| Aug 1, 2026 | UnitedHealthcare | Embolization of the Ovarian and Iliac Veins for Pelvic Congestion SyndromePayerPolicy · UHC-COMM-MD-EMBOLIZATION-OF-THE-OVARIAN-AND-ILIAC-VE-20342BDEC2 | Retired |
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| Aug 1, 2026 | UnitedHealthcare | Cytological Examination of Breast Fluids for Cancer Screening or DiagnosisPayerPolicy · UHC-COMM-MD-CYTOLOGICAL-EXAMINATION-OF-BREAST-FLUIDS-2CE967A85B | Retired |
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| Aug 1, 2026 | UnitedHealthcare | Complement Inhibitors – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-COMPLEMENT-INHIBITORS-COMMUNITY-PLAN-MED-156637E828 | Retired |
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| Aug 1, 2026 | UnitedHealthcare | Whole Exome and Whole Genome Sequencing (Non-Oncology Conditions)PayerPolicy · UHC-COMM-MD-WHOLE-EXOME-WHOLE-GENOME-SEQUENCING-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Ustekinumab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-USTEKINUMAB-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Upper Extremity Prosthetic DevicesPayerPolicy · UHC-COMM-MD-UPPER-EXTREMITY-MYOELECTRIC-PROSTHETIC-DEVICES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Umbilical Cord Blood Harvesting and Storage for Future UsePayerPolicy · UHC-COMM-MD-UMBILICAL-CORD-BLOOD-HARVESTING-AND-STORAGE-FUTURE-USE-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Tzield (Teplizumab-Mzwv) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TZIELD-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Trogarzo (Ibalizumab-Uiyk) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TROGARZO-IBALIZUMAB-UIYK-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Treatment of Temporomandibular Joint DisordersPayerPolicy · UHC-COMM-MD-TMJ-DISORDERS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Transcatheter Procedures for Heart Valve ConditionsPayerPolicy · UHC-COMM-MD-TRANSCATHETER-HEART-VALVE-PROCEDURES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Tocilizumab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TOCILIZUMAB-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Testosterone Replacement or Supplementation Therapy – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-TESTOSTERONE-REPLACEMENT-SUPPLEMENTATION-THERAPY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Surgical and Ablative Procedures for Venous Insufficiency and Varicose VeinsPayerPolicy · UHC-COMM-MD-SURGICAL-ABLATIVE-PROCEDURES-VENOUS-INSUFFICIENCY-VARICOSE-VEINS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Surgery of the KneePayerPolicy · UHC-COMM-MD-SURGERY-KNEE-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Spinraza (Nusinersen) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SPINRAZA-NUSINERSEN-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Spevigo (Spesolimab-Sbzo) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SPEVIGO-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Sleep StudiesPayerPolicy · UHC-COMM-MD-SLEEP-STUDIES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Skyrizi (Risankizumab-Rzaa) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SKYRIZI-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Skin and Soft Tissue SubstitutesPayerPolicy · UHC-COMM-MD-SKIN-SOFT-TISSUE-SUBSTITUTES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Sinus Surgeries and InterventionsPayerPolicy · UHC-COMM-MD-SINUS-SURGERIES-INTERVENTIONS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Scenesse (Afamelanotide) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SCENESSE-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Saphnelo (Anifrolumab-Fnia) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SAPHNELO-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Roctavian (Valoctocogene Roxaparvovec-Rvox) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ROCTAVIAN-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | RNA-Targeted Therapies (Amvuttra and Onpattro) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-RNA-TARGETED-THERAPIES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Rhinoplasty and Other Nasal ProceduresPayerPolicy · UHC-COMM-MD-RHINOPLASTY-OTHER-NASAL-SURGERIES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Repository Corticotropin Injections – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-REPOSITORY-CORTICOTROPIN-INJECTION-HP-ACTHAR-GEL-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Reblozyl (Luspatercept-Aamt) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-REBLOZYL-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Radiation Therapy: Fractionation, Image-Guidance, and Special ServicesPayerPolicy · UHC-COMM-MD-RADIATION-THERAPY-FRACTIONATION-IMAGE-GUIDANCE-SPECIAL-SERVICES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Qalsody (Tofersen) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-QALSODY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Provider Administered Drugs – Site of Care – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-PROVIDER-ADMINISTERED-DRUGS-SITE-CARE-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Prostate Surgeries and InterventionsPayerPolicy · UHC-COMM-MD-PROSTATE-SURGERIES-AND-INTERVENTIONS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Private Duty Nursing ServicesPayerPolicy · UHC-COMM-MD-PRIVATE-DUTY-NURSING-SERVICES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Private Duty Nursing Services (for Florida Only)PayerPolicy · UHC-COMM-MD-PRIVATE-DUTY-NURSING-SERVICES-FL-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Pneumatic Compression DevicesPayerPolicy · UHC-COMM-MD-PNEUMATIC-COMPRESSION-DEVICES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Pharmacogenetic Panel TestingPayerPolicy · UHC-COMM-MD-PHARMACOGENETIC-TESTING-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Panniculectomy SurgeryPayerPolicy · UHC-COMM-MD-PANNICULECTOMY-BODY-CONTOURING-PROCEDURES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Oxlumo (Lumasiran) and Rivfloza (Nedosiran) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OXLUMO-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Orthognathic (Jaw) SurgeryPayerPolicy · UHC-COMM-MD-ORTHOGNATHIC-JAW-SURGERY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Orencia (Abatacept) Injection for Intravenous Infusion – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ORENCIA-ABATACEPT-INJECTION-INTRAVENOUS-INFUSION-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Omnibus CodesPayerPolicy · UHC-COMM-MD-OMNIBUS-CODES-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Off-Label/Unproven Specialty Drug Treatment – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OFF-LABEL-UNPROVEN-SPECIALTY-DRUG-TREATMENT-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Ocular PhotoscreeningPayerPolicy · UHC-COMM-MD-OCULAR-PHOTOSCREENING-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Ocrevus (Ocrelizumab) and Ocrevus Zunovo (Ocrelizumab and Hyaluronidase-Ocsq) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-OCREVUS-OCRELIZUMAB-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Obstructive and Central Sleep Apnea TreatmentPayerPolicy · UHC-COMM-MD-OBSTRUCTIVE-SLEEP-APNEA-TREATMENT-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Noncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for WoundsPayerPolicy · UHC-COMM-MD-NONCONTACT-WARMING-THERAPY-ULTRASOUND-THERAPY-WOUNDS-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Negative Pressure Wound TherapyPayerPolicy · UHC-COMM-MD-NEGATIVE-PRESSURE-WOUND-THERAPY-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Natalizumab (Tyruko & Tysabri) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-NATALIZUMAB-CS | Metadata changed |
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| Aug 1, 2026 | UnitedHealthcare | Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal DiseasesPayerPolicy · UHC-COMM-MD-MINIMALLY-INVASIVE-PROCEDURES-GERD-ACHALASIA-CS | Metadata changed |
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