Excellus Health Plan Inc policy updates
Track new and updated Excellus Health Plan Inc policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Home Non-Invasive Positive Pressure Ventilation (NIPPV) Devices for Respiratory Insufficiency and Failure | Excellus Health Plan Inc | Clinical | Durable Medical Equipment (DME) | Modified | Oct 15, 2026 |
| Lysis of Epidural Adhesions | Excellus Health Plan Inc | Clinical | Pain Management | Modified | Oct 15, 2026 |
| Intradiscal Procedures | Excellus Health Plan Inc | Clinical | Pain Management | Modified | Oct 15, 2026 |
| Left Atrial Appendage Closure Devices | Excellus Health Plan Inc | Clinical | Cardiology | Modified | Sep 17, 2026 |
| Clinical Trials | Excellus Health Plan Inc | Clinical | Other | Modified | Sep 17, 2026 |
| Fecal Microbiota Transplantation | Excellus Health Plan Inc | Clinical | Gastroenterology | Modified | Sep 17, 2026 |
| Colorectal Cancer Screening and Surveillance | Excellus Health Plan Inc | Clinical | Preventive Services & Screening | Modified | Sep 17, 2026 |
| Disability Determination for Extension of Benefits After Coverage Termination | Excellus Health Plan Inc | Clinical | Other | Modified | Aug 20, 2026 |
| Gender Affirming Behavioral Health and Medical Services | Excellus Health Plan Inc | Clinical | Gender-Affirming Care | Modified | Aug 20, 2026 |
| Breast Reconstruction Surgery and Prophylactic Breast Cancer Risk-Reducing Mastectomy | Excellus Health Plan Inc | Clinical | Plastic/Reconstructive Surgery | Modified | Aug 20, 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.
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.