CommercialAdministrativeMedium impact
Medical Policies UNDER REVIEW
HMSA·HI·Medical Policy
We identified it
Jun 20, 2026
Summary
HMSA has published a list of medical policies currently under review, indicating potential upcoming changes to coverage, prior authorization, or billing requirements. The billing team should monitor this resource for updates that may affect claim processing and reimbursement.
Action Required
Immediately: Billing team should bookmark and regularly check the HMSA provider resource center at https://prc.hmsa.com/s/article/Medical-Policies-UNDER-REVIEW for policy updates. Review the list of policies under review to identify any that affect your practice's commonly billed services. Set up weekly checks to monitor for finalized policy changes that may impact billing procedures.