priority health policy updates
Track new and updated priority health policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| TRANSCATHETER CLOSURE OF SEPTAL DEFECTS | Priority Health | Clinical | Cardiology | Modified | Aug 1, 2026 |
| Ventricular Assist Devices & Artificial Hearts | Priority Health | Clinical | Cardiology | Modified | Aug 1, 2026 |
| Endoscopic Submucosal Dissection (ESD) | Priority Health | Clinical | Gastroenterology | Modified | Aug 1, 2026 |
| Intraperitoneal Chemotherapy (HIPEC/IPHC and PIPAC) | Priority Health | Clinical | Hematology/Oncology | Modified | Aug 1, 2026 |
| OSTEOARTHRITIS OF THE KNEE | Priority Health | Clinical | Orthopedics/Musculoskeletal | Modified | Aug 1, 2026 |
| Neuroablation for Pain Management | Priority Health | Clinical | Pain Management | Modified | Aug 1, 2026 |
| Cosmetic and Reconstructive Surgery Procedures | Priority Health | Clinical | Plastic/Reconstructive Surgery | Modified | Aug 1, 2026 |
| Durable Medical Equipment | Priority Health | Clinical | — | Modified | Aug 1, 2026 |
| CAROTID AND INTRACRANIAL ARTERY STENTING | Priority Health | Clinical | Vascular/Cardiothoracic Surgery | Modified | Aug 1, 2026 |
| SKIN SUBSTITUTES & SOFT TISSUE GRAFTS | Priority Health | Clinical | Wound Care | Modified | Aug 1, 2026 |
Rows per page:1–10 of 707
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.