All policies are posted
prior to their effective date. Below is a listing of the policy notifications
that we have posted to our website as of November 30, 2012.
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November 15, 2012
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06.02.14e
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In Vitro Chemosensitivity and
Chemoresistance Assays
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October 16, 2012
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November 26, 2012
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08.00.95b
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Personalized Vaccines (e.g.,
Provenge)
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October 26, 2012
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December 7, 2012
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11.05.17
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Implantable Miniature Telescope
(IMT) for the Treatment of End-Stage Age-Related Macular Degeneration (AMD)
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November 7, 2012
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December 12, 2012
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11.00.06d
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Treatment of Obstructive Sleep
Apnea (OSA) and Primary Snoring for Adults
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September 13, 2012
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December 21, 2012
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05.00.62e
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Injectable Dermal Fillers
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November 21, 2012
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December 21, 2012
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11.15.24
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Migraine Deactivation Surgery
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November 21, 2012
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December 31, 2012
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06.02.39
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Measurement of Serum Antibodies to
Infliximab
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November 30, 2012
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January 1, 2013
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00.03.01j
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Podiatry Services Included in
Capitation for Pennsylvania Based Health Maintenance Organization (HMO) or
Health Maintenance Organization Point-of-Service (HMO-POS) Products
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October 3, 2012
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January 9, 2013
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11.01.01g
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Otoplasty
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October 10, 2012
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February 5, 2013
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00.01.44e
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Never Events and Preventable
Adverse Events
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November 7, 2012
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February 25, 2013
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07.08.03
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Medical and Surgical Treatment of
Temporomandibular Joint Disorder
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November 27, 2012
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To view the policy notifications, visit our
Medical Policy website,
select Accept and Go to Medical Policy Online, and click on the
Policy Notifications box. You can also view policy notifications using
the NaviNet® web portal by selecting Reference Tools from
the Plan Transactions menu, then Medical Policy. Once these policies are
in effect, they will be available by using the Search box on the Medical Policy
homepage. Be sure to check back often, as the site is updated frequently.
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