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CommercialCoverageMedium impact

06.02.17h, Serodiagnosis of Inflammatory Bowel Disease (IBD) and the Prometheus® IBD sgi Diagnostic™ Test

Independence Blue Cross·Gastroenterology, Internal Medicine, Family Medicine·Pharmacy
Effective date
Jun 10, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Policy 06.02.17h regarding serodiagnosis of inflammatory bowel disease (IBD) and the Prometheus® IBD sgi Diagnostic™ Test has been reissued under the Pharmacy category. This policy update affects commercial plans and becomes effective June 10, 2026.

Action Required

Action needed
Before June 10, 2026: Billing team should review the full policy text at the provided URL to understand specific coverage criteria and billing requirements for IBD serodiagnostic testing and the Prometheus® IBD sgi Diagnostic™ Test. Update billing protocols and prior authorization workflows as needed based on the complete policy details.