Evolent Specialty (NIA) policy updates
Track new and updated Evolent Specialty (NIA) policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Evolent Place of Service Policy 1755 for Interventional Pain Management | Evolent | Reimbursement | — | Modified | Jul 1, 2026 |
| Cardiac Claim Edit - Stress Echo and Doppler Add-On | Evolent | Reimbursement | — | Modified | Jan 11, 2020 |
| Evolent Heart Catheterization | Evolent | Clinical | Cardiology | Modified | — |
| Evolent Clinical Guideline 7001 for Proton Beam Radiation Therapy and Neutron Beam Radiation Therapy Services | Evolent | Clinical | Radiation Oncology | Modified | — |
| Transthoracic Echocardiography (TTE) Coverage | Evolent | Clinical | Radiology/Diagnostic Imaging | 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.