Reimbursement/Payment Policy policy updates
Track new and updated Reimbursement/Payment Policy policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Commercial reimbursement policy notifications | Blue Cross Blue Shield - North Carolina | Reimbursement | Other | Modified | Aug 15, 2026 |
| Commercial reimbursement policy notifications | Blue Cross Blue Shield - North Carolina | Reimbursement | Other | Modified | Aug 15, 2026 |
| Evaluation and Management (E/M) Services — Medicare Reimbursement Policy | Blue Cross Blue Shield - North Carolina | Reimbursement | — | Modified | Aug 15, 2026 |
| Bundling Guidelines / Bundling and Incidental Reimbursement Criteria | Blue Cross Blue Shield - North Carolina | Reimbursement | — | Modified | Jul 15, 2026 |
| Reimbursement Policy Genetic Testing: Once per Lifetime | Blue Cross Blue Shield - North Carolina | Reimbursement | Genetic & Molecular Testing | Modified | Jul 1, 2026 |
| Laboratory Procedures Medical Policy | Blue Cross Blue Shield - North Carolina | Reimbursement | — | Modified | May 6, 2026 |
| Facility Billing Guidelines | Blue Cross Blue Shield - North Carolina | Reimbursement | — | Modified | Apr 3, 2026 |
| Anesthesia Services, Professional And Facility — Commercial Reimbursement Policy | Blue Cross Blue Shield - North Carolina | Reimbursement | — | Modified | Apr 3, 2026 |
| Claims and Billing Guidance for Home Health EVV - REV/HCPC/CPT Codes | Blue Cross Blue Shield - North Carolina | Reimbursement | — | Modified | Apr 1, 2026 |
| DME Modifiers for New, Rented, and Used Equipment | Blue Cross Blue Shield - North Carolina | Reimbursement | — | Modified | Mar 26, 2026 |
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.
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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.