About Policy Reporter

Policy Reporter is a cutting-edge service that gives you access to live medical, diagnostic and pharmaceutical policy updates, as they happen, across the entire U.S. health insurance landscape. Subscribers can access an online application to check for updates, evaluate trends within payer policies, organize and sort policy information, and more. Policy Reporter aims to keep you updated on the ever changing payer landscape with policy updates and market trends that could dramatically impact your business.

About Us

Policy Reporter is a privately held medical information company committed to providing innovative regulatory services to our customers globally. Our objective is to improve the way the medical industry receives, processes and acts on healthcare policy developments to ensure the very latest insurer data is at their fingertips.


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Recent Insurance Policy Updates

Removed code-0084T Insertion of a temporary prostatic urethral stent (consider using 53855)

Added the following to criteria: The 21-gene RT-PCR assay Oncotype DX® should only be ordered on a tissue specimen obtained during surgical removal of the tumor and after subsequent pathology examination (i.e., the test should not be ordered on a preliminary core biopsy)

Walgreens has been removed from the preferred pharmacy network for under 65 plans in favor of CVS Caremark. It remains on the Medicare Advantage network.