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12.00.05d, Prescription Digital Therapeutics and Mobile-Based Health Management Applications

Independence Blue Cross·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Days to comply
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Summary

Independence Blue Cross updated their medical policy for Prescription Digital Therapeutics and Mobile-Based Health Management Applications, effective January 1, 2025. This policy change affects coverage and billing for digital health applications and mobile therapeutic tools.

Action Required

Action needed
Immediately: Billing team should review the full policy document at the provided URL to understand specific coverage criteria for digital therapeutics and mobile health applications. Update billing procedures and prior authorization workflows as specified in the complete policy. Verify coverage requirements before billing for any digital health services.

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