WebMolecular and Genomic Testing Program. Horizon collaborates with eviCore healthcare (eviCore) to conduct pre- and post-service Medical Necessity Determination (MND) reviews of certain molecular and genomic diagnostic testing services that are rendered in a physician’s office or clinical laboratory setting. This program applies to Horizon ... WebLaboratory: For genetic testing and molecular testing (PDF) — Includes information about our utilization management programs; Surgeries: ... * Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site, we're required to let you know we're not responsible for ...
2.04.91 General Approach to Genetic Testing - Blue …
WebMedical Policies A-Z. Medical policies serve as one set of guidelines for determining what medical services, procedures, devices and drugs may be eligible for coverage. View the medical and drug authorization tables to determine when to request an authorization. InterQual® criteria is used to evaluate whether a medical procedure or equipment ... WebMay 1, 2024 · Effective July 1, 2024, the following changes are being made for several genetic testing services: Genetic testing for Cystic Fibrosis and Spinal Muscular … piscine thouars 79100
Medical Policies - Blue Cross and Blue Shield
WebIt does not apply to members that have benefit plan coverage under the following: Anthem Blue Cross and Blue Shield in Virginia and our affiliate, HealthKeepers, Inc until 5/1/18, ... If the genetic test is not clinically appropriate, the request will not be approved. Q: If the physician orders the genetic test and does not obtain pre-service ... Web2.04.62 Multimarker Serum Testing Related to Ovarian Cancer. 2.04.68 Laboratory and Genetic Testing for Use of 5-Fluorouracil in Patients with Cancer. 2.04.69 Fecal Calprotectin Testing. 2.04.75 Genetic Testing of CADASIL Syndrome. 2.04.77 Somatic Genetic Testing to Select Individuals with Melanoma or Glioma for Targeted Therapy or … WebMolecular and Genomic Testing Program. Horizon collaborates with eviCore healthcare (eviCore) to conduct pre- and post-service Medical Necessity Determination (MND) … piscine thiolettes reims horaires