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Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

Home 9 Author archive for Kristin Fleming ( Page 2 )

Level of Care for Surgical Procedures 2025-11-15

by | Nov 6, 2025 | Current

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: SUR03-1125.1 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 Appropriateness...

Sleep Disorder Management 2025-11-15

by | Oct 15, 2025 | Current

*[Regence-only deferred to 12/1/25] 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...

Percutaneous Coronary Intervention 2024-10-20

by | Jul 28, 2025 | Current

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...

Diagnostic Coronary Angiography 2025-11-15

by | Jul 25, 2025 | Current

*[Regence-only deferred to 1/1/26] 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...