evicore policy updates
Track new and updated evicore policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Esophagogastroduodenoscopy (EGD) Coverage Policy | Evicore | Clinical | Gastroenterology | Modified | Nov 5, 2026 |
| Radiation oncology coverage and treatment delivery guidelines | Evicore | Clinical | Radiation Oncology | Modified | Nov 5, 2026 |
| Sleep Disordered Breathing Diagnosis and Treatment Guidelines | Evicore | Clinical | Sleep Medicine | Modified | Nov 5, 2026 |
| Cerebrovascular Intervention (Endovascular Embolization and Stents) | Evicore | Clinical | Vascular/Cardiothoracic Surgery | Modified | Nov 5, 2026 |
| Peripheral Vascular Intervention (PVI) — carotid and arterial revascularization guidance | Evicore | Clinical | Vascular/Cardiothoracic Surgery | Modified | Nov 5, 2026 |
| Cardiac Imaging Guidelines | Evicore | Clinical | Cardiology | Modified | Sep 1, 2026 |
| CIGNA Medical Coverage Policies - Radiology: Breast Imaging Guidelines | Evicore | Clinical | Radiology/Diagnostic Imaging | Modified | Sep 1, 2026 |
| Pediatric Abdomen Imaging Guidelines (Coverage and Utilization) | Evicore | Clinical | Radiology/Diagnostic Imaging | Modified | Sep 1, 2026 |
| Pediatric Musculoskeletal Imaging Guidelines | Evicore | Clinical | Radiology/Diagnostic Imaging | Modified | Sep 1, 2026 |
| Pelvis Imaging Guidelines | Evicore | Clinical | Radiology/Diagnostic Imaging | Modified | Sep 1, 2026 |
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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.