Endocrinology policy updates
Track new and updated Endocrinology policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Artificial Pancreas Device Systems | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Jun 1, 2026 |
| Donislecel-jujn (Lantidra) — Hepatic Portal Vein Islet Transplantation Coverage Criteria | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Apr 1, 2026 |
| Familial Chylomicronemia Syndrome Therapy | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Apr 1, 2026 |
| Denosumab (Prolia, Xgeva) and Denosumab Biosimilars coverage | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Jan 1, 2026 |
| Denosumab (Prolia, Xgeva) and Denosumab Biosimilars notification | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Jan 1, 2026 |
| Automated Insulin Delivery Systems (Clinical UM Guideline) | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Oct 1, 2025 |
| Molecular Markers in Fine Needle Aspirates of the Thyroid | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Apr 1, 2024 |
| Thyroid Disease Testing | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Jul 26, 2022 |
| Diabetes Mellitus diagnostic and monitoring laboratory testing (A1c, FPG, OGTT) | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Jun 1, 2019 |
| Hemoglobin A1c (Diabetes Mellitus testing) | Blue Cross Blue Shield - North Carolina | Clinical | Endocrinology | Modified | Jun 1, 2019 |
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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.
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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.