by skozmic | Oct 20, 2024 | Current
Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: RBM03-1024.1 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...
by skozmic | Oct 20, 2024 | Current
Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: RBM05-1024.1 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...
by skozmic | Oct 20, 2024 | Current
Link to PDF Status: Reaffirmed Effective Date: 10/20/2024 Doc ID: RBM10-1024.1-R0126 Last Review Date: 01/29/2026 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...
by skozmic | Oct 20, 2024 | Current
Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: RBM08-1024.1 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...
by skozmic | Jul 29, 2024 | Archived
Status: Revised Effective Date: 05/01/2021 Doc ID: REH01-0521.1 Last Review Date: 05/11/2020 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness Guidelines...