Florida Blue policy updates
Track new and updated Florida Blue policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Discontinued Procedure (Modifier 53) reimbursement | Florida Blue | Reimbursement | Other | Modified | Aug 1, 2026 |
| Responsible Steps Program (step therapy and prior authorization guidance) | Florida Blue | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 1, 2026 |
| Laboratory Panels and Other Lab Services | Florida Blue | Reimbursement | — | Modified | Jul 1, 2026 |
| Responsible Quantity Program — Drug Dispensing Quantity Limits | Florida Blue | Reimbursement | — | Modified | Jul 1, 2026 |
| Increased Procedural Services (Modifier 22) | Florida Blue | Reimbursement | Other | Modified | Jun 29, 2026 |
| Care Coordination Services | Florida Blue | Reimbursement | — | Modified | Jun 11, 2026 |
| New Patient Visits | Florida Blue | Reimbursement | Other | Modified | Jun 11, 2026 |
| Emergency Department Evaluation & Management Services | Florida Blue | Reimbursement | Emergency & Medical Transportation | Modified | Jun 1, 2026 |
| Consultation Services | Florida Blue | Reimbursement | — | Modified | May 14, 2026 |
| T-Status Procedure Code Reimbursement | Florida Blue | Reimbursement | — | Modified | May 14, 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.
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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.