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    v1.0.28
    OpenPayerLive policy feedAdministrative/Operational Policy

    Administrative/Operational Policy policy updates

    Track new and updated Administrative/Operational Policy policies impacting reimbursement and clinical operations.

    Policy Payer Type Specialty Change Effective
    Laboratory Management - Applicable Administrative Only Group NumbersBlue Cross Blue Shield - TexasAdministrative—ModifiedJan 1, 2026
    Prior Authorization Requirements for Blue Cross Medicare Advantage (Texas)Blue Cross Blue Shield - TexasAdministrative—ModifiedApr 1, 2025
    Prior Authorization Services for Other Administrative Services Only (ASO) MembersBlue Cross Blue Shield - TexasAdministrative—ModifiedJan 1, 2025
    2025 Commercial Prior Authorization Codes for Administrative ServicesBlue Cross Blue Shield - TexasAdministrative—ModifiedJan 1, 2025
    2026 Commercial Prior Authorization Codes for Administrative Services OnlyBlue Cross Blue Shield - TexasAdministrative—ModifiedJan 1, 2025
    Commercial Prior Authorization Codes for Administrative ServicesBlue Cross Blue Shield - TexasAdministrative—ModifiedJan 1, 2025
    Prior Authorization Services for Fully Insured & Certain Administrative Services GroupsBlue Cross Blue Shield - TexasAdministrative—ModifiedJan 1, 2025
    Medical Record DocumentationBlue Cross Blue Shield - TexasAdministrative—ModifiedNov 14, 2024
    Prior Authorization Services for Other Administrative Services Only (ASO) MembersBlue Cross Blue Shield - TexasAdministrative—ModifiedJan 1, 2024
    2024 Commercial Prior Authorization Codes for Fully Insured & Certain Administrative Services (ASO Groups)Blue Cross Blue Shield - TexasAdministrative—ModifiedJan 1, 2024
    Rows per page:1–10 of 25

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.


    OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
    Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.

    Where this data comes from

    Every entry in this feed comes from documents payers publish themselves: medical policies, provider bulletins, and clinical criteria. We check payer policy libraries daily and record the effective date on each update.

    See our data sourcesHow we process policy documents

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