CommercialPrior AuthMedium impact
MPC May2023
Blue Cross Blue Shield of Nebraska·NE · Oncology, Urology, Pain Management +5 more·Medical Policy
Effective date
May 17, 2023
We identified it
Jun 24, 2026
Summary
Blue Cross Blue Shield of Nebraska updated several medical policies effective May 17 and August 1, 2023. New policies include virtual reality therapy being considered investigational, electrical stimulation updates, and expanded PET scan coverage for prostate cancer with prior authorization required for all affected services.
Action Required
By August 1, 2023: Billing team must update prior authorization requirements for virtual reality therapy systems, disposable neuromuscular electrical stimulation, and PET scans with prostate-specific tracers. Update billing system to flag these services as investigational or requiring preauth. For PET scans effective May 17, 2023: ensure proper documentation of PSA levels and clinical indication before submitting claims.