Gastroenterology policy updates
Track new and updated Gastroenterology policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Upper GI Endoscopy for GERD | Ambetter Nevada | Clinical | Gastroenterology | Modified | Sep 1, 2026 |
| Immobilized Lipase Cartridges (RELiZORB) | Ambetter Nevada | Clinical | Gastroenterology | Modified | Aug 1, 2026 |
| Gastric Electrical Stimulation (GES) | Ambetter Nevada | Clinical | Gastroenterology | Modified | May 1, 2026 |
| Total Parenteral Nutrition (TPN) and Intradialytic Parenteral Nutrition (IDPN) | Ambetter Nevada | Clinical | Gastroenterology | Modified | May 1, 2026 |
| Helicobacter Pylori Serology Testing | Ambetter Nevada | Clinical | Gastroenterology | Modified | Apr 1, 2026 |
| Wireless Motility Capsule | Ambetter Nevada | Clinical | Gastroenterology | Modified | Apr 1, 2026 |
| Clinical Policy: Fecal Incontinence Treatments | Ambetter Nevada | Clinical | Gastroenterology | Modified | Nov 1, 2025 |
| Concert Genetic Testing: Gastroenterology — Genetic and Blood‑Based Algorithmic Tests for Non‑Cancer Gastroenterologic Disorders | Ambetter Nevada | Clinical | Gastroenterology | Modified | — |
| Concert Infectious Disease: Gastroenterologic Testing — Multiplex GI Panels and H. pylori Testing (Coverage Criteria) | Ambetter Nevada | Clinical | Gastroenterology | Modified | — |
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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.