Gastroenterology policy updates
Track new and updated Gastroenterology policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Mirikizumab-mrkz (Omvoh) — Intravenous Infusion (Notification) Coverage Criteria | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Jul 1, 2026 |
| Risankizumab-rzaa (Skyrizi) IV infusion — Induction for Crohn's disease and Ulcerative Colitis | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Jul 1, 2026 |
| Vedolizumab (Entyvio) intravenous infusion coverage | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Jul 1, 2026 |
| Confocal Laser Endomicroscopy | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | May 28, 2026 |
| Electrogastrography, Cutaneous | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Mar 1, 2026 |
| Gastroesophageal Reflux Disease, Transendoscopic Therapies | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Mar 1, 2026 |
| Enteral Nutrition (including Relizorb™) | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Mar 1, 2026 |
| Chromoendoscopy as an Adjunct to Colonoscopy | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Mar 1, 2026 |
| Serum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Feb 11, 2026 |
| Serum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease AHS - G2110 | Blue Cross Blue Shield - North Carolina | Clinical | Gastroenterology | Modified | Feb 11, 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.