MVP Health Care policy updates
Track new and updated MVP Health Care policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Bevacizumab (Avastin) medical benefit coverage — Coverage Criteria | MVP Health Care | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2025 |
| Herceptin (trastuzumab) medical benefit coverage | MVP Health Care | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2025 |
| Perjeta (pertuzumab) medical benefit coverage | MVP Health Care | Clinical | Pharmacy & Specialty Drugs | Modified | Apr 1, 2025 |
| MVP Health Care Non-Covered Items (Durable Medical Equipment / HCPCS list) | MVP Health Care | Reimbursement | Durable Medical Equipment (DME) | Modified | Feb 27, 2024 |
| After‑Hours, Allergy Testing and Serum Preparation, and E&M Reimbursement | MVP Health Care | Reimbursement | — | Modified | May 11, 2023 |
| Medicare Creditable Coverage Determinations — Products with Effective Date in 2023 | MVP Health Care | Administrative | — | Modified | Jan 1, 2023 |
| 2022 MVP Health Care Payment Policies (Section excerpts) | MVP Health Care | Reimbursement | — | Modified | Dec 1, 2022 |
| 2022 Payment Policies (Reimbursement and Billing Guidelines) | MVP Health Care | Reimbursement | — | Modified | Sep 1, 2022 |
| MVP Health Care 2022 Payment Policies (selected sections) | MVP Health Care | Reimbursement | — | Modified | Jun 1, 2022 |
| MVP Health Care 2022 Payment Policies (partial) | MVP Health Care | Reimbursement | — | Modified | Dec 1, 2021 |
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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.