Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

Home 9 Author archive for Kristin Fleming

Percutaneous Coronary Intervention 2024-10-20

Link to PDF Status: Reaffirmed Effective Date: 10/20/2024 Doc ID: CAR04-1024.1- UC0125-R0725 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...

Imaging of the Heart 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: CAR01-1125.1 Last Review Date: 01/30/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Diagnostic Coronary Angiography 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: CAR03-1125.1 Last Review Date: 01/30/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Sleep Disorder Management 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: SDM01-1125.1 Last Review Date: 01/30/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...