Are you a a DME provider or a physician that prescribes DME for Emblem Health members? Then this blog post is for you!
Starting on for any DOS 13,2026 and thereafter the following DME codes will be added to the prior authorization list.
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- Healthfirst removes some procedures off the prior auth list (2026)
- Emblem Health to add more DME codes to prior auth list.
- UHC to remove prior auth for some radiology and cardiology tests.
- Anthem BCBS NY: New PET tracer UM policy
- PrEP proper billing and coding
KR2 Medical Billing 