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SelectHealthCommercial · Prior Auth · Policy Bulletin · Genetics, Oncology, Urology +4 moreMedium impact

Provider Policy Updates | May 2026

Effective date
Jun 1, 2026
Identified
Sep 29, 2026

Summary

Select Health's May 2026 provider policy bulletin lists one new medical policy, nine revised medical policies and one archived policy. It announces new genetic testing policies effective June 1, 2026, which incorporate Concert-adopted genetic testing criteria. The bulletin says Select Health is seeing an increase in claim denials for genetic testing when preauthorization is not obtained, and that some genetic tests require preauthorization.

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What to do

Action · 2 steps
01Already effective 2026-06-01: Billing team: For genetic testing, check whether the test requires preauthorization, using the Preauth & Care Plan Tool page for the complete list of codes that require preauth, and obtain preauthorization for those codes.
02The source says Select Health is seeing an increase in claim denials for genetic testing when preauthorization is not obtained.

Original notice

Provider Policy Updates | May 2026
selecthealth.org · Always check the source before changing claims.
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