Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

Home 9 Author archive for dlamm

Somatic Tumor Testing 2025-11-15 updated 2026-04-01

Link to PDF Status: Updated codes 04/01/2026 Effective Date: 11/15/2025 Doc ID: GEN02-1125.3-UC0426 Last Review Date: 04/21/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...

Radiation Therapy for Non-Malignant Disease 2026-04-04

Link to PDF Status: Created Effective Date: 04/04/2026 Doc ID: RAD05-0426.1 Last Review Date: 07/17/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Hereditary Cancer Testing 2026-04-04

Link to PDF Status: Revised Effective Date: 04/04/2026 Doc ID: GEN01-0426.1 Last Review Date: 07/17/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...