Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Level of Care for Surgical Procedures 2025-11-15

Link to PDF Status: Reaffirmed Effective Date: 11/15/2025 Doc ID: SUR03-1125.1-R0426 Last Review Date: 04/15/2026 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 2025-11-15 updated 2026-05-01

Link to PDF Status: Updated Codes 05/01/2026 Effective Date: 11/15/2025 Doc ID: CAR01-1125.1-UC0526 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...