• Medical Policies

    Premera offers access to more than 300 medical policies online. Since we’re continually updating these pages, we encourage you to visit often. The policies are in Adobe PDF format. Individual plans use different medical policies. View individual plan medical policies and also View our HMO medical policies.

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4 results found for artificial intelligence
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2.04.520 Laboratory Testing Investigational Services
https://www.premera.com/medicalpolicies/2.04.520.pdf#search=artificial%20intelligence
... SQ HIV-1 Genotyping Assay) 0220U Oncology (breast cancer), image analysis with artificial intelligence assessment of 12 histologic and immunohistochemical features, reported as a ...
3.03.01 Prescription Digital Health Diagnostic Aid for Autism...
https://www.premera.com/medicalpolicies/3.03.01.pdf#search=artificial%20intelligence
... providers as an aid in the diagnosis of Autism Spectrum Disorder (ASD) for Artificial intelligence app for use by health care providers as an adjunct in the diagnosis of autism ...
10.01.533 Non-covered Experimental/Investigational Services
https://www.premera.com/medicalpolicies/10.01.533.pdf#search=artificial%20intelligence
... electrocardiogram (List separately in addition to code for primary procedure) (artificial intelligence) 0765T Assistive algorithmic electrocardiogram risk-based assessment for ...
8.01.61 Focal Treatments for Prostate Cancer
https://www.premera.com/medicalpolicies/8.01.61.pdf#search=artificial%20intelligence
... In 2020, the FDA cleared the Avenda Health focal laser ablation system and in 2021, the FDA granted a breakthrough device designation to a novel artificial intelligence ...
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