memorialcareselecthealthplan policy updates
Track new and updated memorialcareselecthealthplan policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| ICD-10/NCCI diagnosis coding edits and claim denial guidance | Memorialcareselecthealthplan | Reimbursement | — | Modified | Mar 1, 2021 |
| New Payment Policies and Reminder on Correct Coding Guidelines | Memorialcareselecthealthplan | Reimbursement | — | Modified | Feb 1, 2021 |
| Medi-Cal Rx pharmacy benefit transition (Medi-Cal Rx) | Memorialcareselecthealthplan | Administrative | — | Modified | Jan 1, 2021 |
| Medi‑Cal pharmacy benefit carve‑out to Medi‑Cal Rx | Memorialcareselecthealthplan | Administrative | — | Modified | Jan 1, 2021 |
| Second opinion consult referral process | Memorialcareselecthealthplan | Administrative | — | Modified | Dec 28, 2020 |
| Childhood blood lead screening | Memorialcareselecthealthplan | Clinical | Pediatrics/Neonatology | Modified | Dec 1, 2020 |
| Transgender / gender-affirming service request review (APL 20-018) | Memorialcareselecthealthplan | Clinical | Gender-Affirming Care | Modified | Oct 26, 2020 |
| Home sleep testing for obstructive sleep apnea | Memorialcareselecthealthplan | Clinical | Sleep Medicine | Modified | Oct 8, 2020 |
| 20-709 Medical Policies - 2nd Quarter 2020 | Memorialcareselecthealthplan | Clinical | Other | Modified | Sep 17, 2020 |
| ACEs screening training, attestation, billing and payment guidance | Memorialcareselecthealthplan | Reimbursement | — | Modified | Jul 1, 2020 |
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.