Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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ARCHIVED Febrile Neutropenia Risk 2024-02-01 to 2025-11-14

Archive Date: 11/15/2025 This document has been archived because it has outdated information. It is for historical information only and should not be consulted for clinical use. Current versions of guidelines are available on the Carelon Medical Benefits Management...

Oncologic Imaging 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: RBM07-1125.2 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 Appropriateness...

Vascular Imaging 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: RBM08-1125.1 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...

Imaging of the Spine 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: RBM05- 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...

Imaging of the Extremities 2025-11-15

Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: RBM03-1125.1 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...