Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Ambulatory Cardiac Rhythm Monitoring 2024-07-01

Link to PDF Status: Created Effective Date: 07/01/2024 Doc ID: CAR11-0724.1 Last Review Date: 07/18/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Polygenic Risk Scores 2024-01-01 updated 2024-07-01

Link to PDF Status: Updated codes 07/01/2024 Effective Date: 01/01/2024 Doc ID: GEN10-0124.1-UC0724 Last Review Date: 09/21/2022 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...

Wearable Cardioverter Defibrillators 2024-07-01

Link to PDF Status: Created Effective Date: 07/01/2024 Doc ID: CAR12-0724.1 Last Review Date: 07/18/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Chromosomal Microarray Analysis 2023-02-12 updated 2024-07-01

Link to PDF Status: Updated codes 07/01/2024 Effective Date: 02/12/2023 Doc ID: GEN07-0223.1-UC0724 Last Review Date: 09/21/2022 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...