Learn the clinical criteria we use to make medical necessity determinations for coverage of these medical and surgical services rendered to our members.
These criteria are developed with input from practicing clinicians in relevant specialties and are based on clinical evidence. We review the criteria annually.
Please refer to our medical policies and payment policies for information about other services not listed here.
Just so you know....
You are about to leave Provider Central. By clicking the continue button you will connect to the other website. If you wish to return to Provider Central, simply close this window.