WebAetna Clinical Policy Bulletins. Our Clinical Policy Bulletins (CPBs) explain the medical, dental and pharmacy services we may or may not cover. They are based on objective, … WebProvider Manuals. The Anthem provider manuals provide key administrative information, details regarding programs that include the UM program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more. Medi-Cal Managed Care and Major Risk Medical Insurance Program Provider Manual.

Aetna Injection Policy For Back Pain - FSPMR

WebApr 9, 2014 · Here is the policy from Aetna on Facet Blocks http://www.aetna.com/cpb/medical/data/1_99/0016.html Policy Aetna considers any of the following injections or procedures medically necessary for the treatment of back pain; provided, however, that only 1 invasive modality or procedure will be considered … Web(e.g., Aetna, Blue Cross, etc.) and some Medicare Advantage Plans may require a prior authorization or precertification for surgical procedures. Therefore, it is recommended ... inhibition\u0027s pj

Clinical Policy Bulletin: Pulsed Radiofrequency - Aetna

WebSite of service for outpatient surgical procedures policy. Our precertification program is aimed at minimizing members’ out-of-pocket costs and improving overall cost efficiencies. It requires that the more cost-effective site of service is used for certain outpatient surgical procures, when clinically appropriate. WebNon-surgical care is defined by the Aetna medical policy as any non-surgical treatment which has been demonstrated in the scientific literature as efficacious and/or is considered a standard of care in the treatment of large joint pain. The types of non-surgical treatment can include, but are not WebGuidelines. We’ve chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and resources effectively. These include … inhibition\\u0027s pk