Ophthalmology/Optometry policy updates
Track new and updated Ophthalmology/Optometry policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| iDose TR (travoprost intracameral implant) — Coverage Criteria and Prior Authorization | Blue Cross Blue Shield - Tennessee | Clinical | Ophthalmology/Optometry | Modified | Jul 31, 2026 |
| Aflibercept Products (intravitreal) coverage criteria | Blue Cross Blue Shield - Tennessee | Clinical | Ophthalmology/Optometry | Modified | Jun 30, 2026 |
| Corneal collagen cross-linking (CXL) — Coverage Criteria | Blue Cross Blue Shield - Tennessee | Clinical | Ophthalmology/Optometry | Modified | Jun 30, 2026 |
| Office-based orthoptic (vision) training for convergence insufficiency | Blue Cross Blue Shield - Tennessee | Clinical | Ophthalmology/Optometry | Modified | Jun 2, 2026 |
| Evaluation of Dry Eyes — Coverage Criteria for Tear Diagnostic Tests | Blue Cross Blue Shield - Tennessee | Clinical | Ophthalmology/Optometry | Modified | Jul 1, 2023 |
| Evaluation of Dry Eyes (Diagnostic Testing for Dry Eye Disease) | Blue Cross Blue Shield - Tennessee | Clinical | Ophthalmology/Optometry | Modified | — |
| Verteporfin (Visudyne®) photodynamic therapy coverage criteria | Blue Cross Blue Shield - Tennessee | Clinical | Ophthalmology/Optometry | 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.