CommercialCoverageMedium impact
Reimbursement Policies
EmblemHealth·Radiology, Neurosurgery, Oncology +1 more·Provider News
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare introduced a new MRgFUS (Magnetic Resonance Image Guided High Intensity Focused Ultrasound) Reimbursement Policy effective January 1, 2025. Multiple existing reimbursement policies were also updated including bundled services, preventive care, diagnostic imaging, telehealth, and laboratory benefit management policies.
Action Required
By January 1, 2025: Billing team must review and implement the new MRgFUS reimbursement policy for EmblemHealth and ConnectiCare plans. Access the full policy details at the provided URL to understand specific billing requirements, coverage criteria, and documentation needs for MRgFUS procedures. Review all updated policies listed to ensure compliance with revised bundled services, preventive care, diagnostic imaging, and telehealth billing requirements.