Premera Bluecross policy updates
Track new and updated Premera Bluecross policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Prolonged Services for Labor Management | Premera Bluecross | Reimbursement | Obstetrics/Gynecology | Modified | Jan 1, 2027 |
| Prolonged Services for Labor Management | Premera Bluecross | Reimbursement | Obstetrics/Gynecology | Modified | Jan 1, 2027 |
| Orthognathic Surgery | Premera Bluecross | Clinical | Dental/Oral & Maxillofacial | Modified | Sep 4, 2026 |
| 9.02.501 Orthognathic Surgery | Premera Bluecross | Clinical | Dental/Oral & Maxillofacial | Modified | Sep 4, 2026 |
| Orthognathic Surgery | Premera Bluecross | Clinical | Dental/Oral & Maxillofacial | Modified | Sep 4, 2026 |
| Testosterone laboratory testing and measurement (coverage criteria) | Premera Bluecross | Clinical | Endocrinology | Modified | Sep 4, 2026 |
| Testosterone laboratory testing and management | Premera Bluecross | Clinical | Endocrinology | Modified | Sep 4, 2026 |
| Shoulder Open Procedures | Premera Bluecross | Clinical | Orthopedics/Musculoskeletal | Modified | Sep 4, 2026 |
| Shoulder Open Procedures | Premera Bluecross | Clinical | Orthopedics/Musculoskeletal | Modified | Sep 4, 2026 |
| Shoulder Open Procedures | Premera Bluecross | Clinical | Orthopedics/Musculoskeletal | Modified | Sep 4, 2026 |
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.