Reimbursement/Payment Policy policy updates
Track new and updated Reimbursement/Payment Policy policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| FEP and Postal Prior Approval List (partial) | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jan 1, 2026 |
| Code Editing for Facility High Level Emergency Room Services | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jul 1, 2024 |
| Commercial Radiation Therapy Procedure Codes | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jul 1, 2024 |
| BCBST Commercial Radiation Therapy Procedure Codes (UM+CS) | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jul 1, 2024 |
| Office and Outpatient Evaluation and Management Visit Complexity Add-on Payment Code G2211 | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jan 1, 2024 |
| Diagnosis of Idiopathic Environmental Intolerance | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jul 1, 2023 |
| Immunohistochemistry and Ancillary Pathology Testing Reimbursement | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jul 1, 2023 |
| Identification of Microorganisms using Nucleic Acid Probes | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jul 1, 2023 |
| Pancreatic Enzyme Testing for Acute Pancreatitis | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jul 1, 2023 |
| Serum Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases | Blue Cross Blue Shield - Tennessee | Reimbursement | — | Modified | Jul 1, 2023 |
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.