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Payer and Criteria Availability

Payer and Criteria Availability

This page outlines the current payer policy sets available in our Longtail library.

Current Payer Policies

Clinical Care Guidelines are available for the following payers:

  • Aetna

  • Aetna - EviCore

  • Aetna Medicare Advantage

  • Amerihealth Caritas Next

  • Anthem BCBS - California

  • Anthem BCBS - Colorado

  • Anthem BCBS - Connecticut

  • Anthem BCBS - Georgia

  • Anthem BCBS - Indiana

  • Anthem BCBS - Kentucky

  • Anthem BCBS - Maine

  • Anthem BCBS - Missouri

  • Anthem BCBS - Nevada

  • Anthem BCBS - New Hampshire

  • Anthem BCBS - New York

  • Anthem BCBS - Ohio

  • Anthem BCBS - Virginia

  • Anthem BCBS - Wisconsin

  • BCBS - Alabama

  • BCBS - Federal

  • BCBS - Illinois

  • BCBS - Michigan

  • BCBS - North Carolina

  • BCBS - Pennsylvania

  • BCBS - Puerto Rico

  • BCBS - South Carolina

  • BCBS - Texas

  • Blue Advantage - Alabama

  • Blue Cross Medicare Advantage - Kansas

  • Blue Cross Medicare Advantage - Massachusetts

  • Blue Cross Medicare Advantage - Michigan

  • Blue Cross Medicare Advantage - Minnesota

  • Blue Cross Medicare Advantage - Montana

  • Blue Cross Medicare Advantage - New Mexico

  • Blue Cross Medicare Advantage - Oklahoma

  • Blue Cross Medicare Advantage - Rhode Island

  • Blue Cross Medicare Advantage - South Carolina

  • Blue Cross Medicare Advantage - Tennessee

  • Blue Cross Medicare Advantage - Texas

  • Blue Cross of Idaho Medicare Advantage

  • Blue Medicare Advantage - North Carolina

  • Blue Shield Medicare Advantage - California

  • Carolina Complete Health

  • Cigna

  • Cigna - EviCore

  • Cigna Medicare Advantage

  • Florida Blue

  • Florida Blue Medicare Advantage

  • Humana

  • Kaiser Permanente Medicare Advantage

  • Louisiana Blue Medicare Advantage

  • Medicare Advantage - Arizona Blue

  • Medicare - All LCDs & NCDs

    • Medicare - CGS

    • Medicare - FCSO

    • Medicare - NGS

    • Medicare - Noridian

    • Medicare - Novitas

    • Medicare - Palmetto

    • Medicare - WPS

  • NC Medicaid

  • NC Wellcare

  • Regence

    • Regence Medicare Advantage - Oregon

    • Regence Medicare Advantage - Utah

  • Surest

  • Tricare

  • UMR

  • United Healthcare

  • United Medicare Advantage

  • Veterans Affairs