Preventive Services & Screening policy updates
Track new and updated Preventive Services & Screening policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Colorectal cancer screening with stool DNA (FIT‑DNA/Cologuard) | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Apr 1, 2025 |
| Colorectal cancer screening using stool DNA (FIT-DNA/Cologuard) | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Apr 1, 2025 |
| Colorectal cancer screening with stool DNA (FIT‑DNA/Cologuard) | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Apr 1, 2025 |
| Medical Necessity | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Mar 1, 2024 |
| ACA Preventive Drug List / Preventive Medications and Vaccines Coverage | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Jan 1, 2024 |
| Cervical Cancer Screening | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Apr 1, 2019 |
| Cervical Cancer Screening | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Apr 1, 2019 |
| Advance illness care planning / advance directives reimbursement | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Mar 15, 2016 |
| Medical Necessity | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Jun 1, 2009 |
| Medical Necessity | Blue Cross Blue Shield - North Carolina | Clinical | Preventive Services & Screening | Modified | Sep 1, 1999 |
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.