Infectious Disease policy updates
Track new and updated Infectious Disease policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| CONCERT INFECTIOUS DISEASE: MULTISYSTEM TESTING | Ambetter Nevada | Clinical | Infectious Disease | Modified | — |
| Concert Infectious Disease: Gastroenterologic Testing | Ambetter Nevada | Clinical | Infectious Disease | Modified | — |
| CONCERT INFECTIOUS DISEASE: GENITOURINARY TESTING (coverage for outpatient lab testing of vaginitis/vaginosis and UTI) | Ambetter Nevada | Clinical | Infectious Disease | Modified | — |
| CONCERT INFECTIOUS DISEASE: PRIMARY CARE & PREVENTATIVE SCREENING | Ambetter Nevada | Clinical | Infectious Disease | Modified | — |
| CONCERT INFECTIOUS DISEASE: PRIMARY CARE & PREVENTATIVE SCREENING | Ambetter Nevada | Clinical | Infectious Disease | Modified | — |
| Vector-borne and tropical diseases laboratory testing: Lyme disease and Zika virus (coverage criteria) | Ambetter Nevada | Clinical | Infectious Disease | Modified | — |
| Outpatient Respiratory Infectious Disease Diagnostic Testing — Coding & Coverage (Lab) | Ambetter Nevada | Clinical | Infectious Disease | Modified | — |
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.