Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Whole Exome and Whole Genome Sequencing 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: GEN08-1024.2 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Permanent Implantable Pacemakers 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: CAR08-1024.2 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Somatic Tumor Testing 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: GEN02-1024.3 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Imaging of the Heart 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: CAR01-1024.3 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Endovascular Revascularization 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: CAR07-1024.2 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...