Center Care (Meritain) policies, page 103

Search Center Care (Meritain)'s public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

5,481 public policies Substrate tracks for Center Care (Meritain), by title.

Center Care (Meritain) policies
PolicyDetailsCodesSource
Participating provider precertification list for Aetna®Effective Jan 1, 2026 · Commercial1,440Original policy ↗
Participating provider precertification list for Aetna®1013000-01-35 · Effective Nov 1, 2025 · Commercial1,389Original policy ↗
pazopanib-Votrient 2009-A SGM P20242009-A · Commercial—Original policy ↗
Pegzilarginase-nbln (Loargys)1101 · Commercial35Original policy ↗
Pelvic Congestion Syndrome Treatments0441 · Commercial16Original policy ↗
Pemazyre 3822-A SGM P20213822-A · Commercial—Original policy ↗
Pemetrexed Products0687 · Commercial35Original policy ↗
Pennsaid PA with Limit 787-C 07-2022787-C · Commercial—Original policy ↗
Percutaneous Transluminal Septal Myocardial Ablation (PTSMA)0558 · Commercial13Original policy ↗
Periodontal pocket reduction surgery (012)012 · Effective Mar 13, 2026 · Commercial9Original policy ↗
Peripheral Electrical Nerve Stimulation for Pain0011 · Commercial56Original policy ↗
Peripheral Vascular Rehabilitation Programs0458 · Commercial2Original policy ↗
Photodynamic Therapy0375 · Commercial16Original policy ↗
Phototherapy and Photochemotherapy (PUVA) for Skin Conditions0205 · Commercial11Original policy ↗
Phototherapy for Acne0656 · Commercial20Original policy ↗
Phototherapy for Psychiatric Disorders0370 · Commercial3Original policy ↗
Physical Therapy0325 · Commercial47Original policy ↗
Pillows and Cushions0456 · Commercial6Original policy ↗
Piqray 3089-A SGM P20233089-A · Commercial—Original policy ↗
Piqray SGM 3089-A P20253089-A · Commercial—Original policy ↗
Pneumococcal Vaccines0037 · Commercial18Original policy ↗
Polio Vaccine0402 · Commercial7Original policy ↗
Polymerase Chain Reaction Testing: Selected Indications0650 · Commercial182Original policy ↗
pomalidomide-Pomalyst SGM 2234-A P20252234-A · Commercial—Original policy ↗
Ponvory 4631-A SGM P20234631-A · Commercial—Original policy ↗
Positive Pressure Ventilation0452 · Commercial30Original policy ↗
Positron Emission Tomography (PET)0071 · Commercial68Original policy ↗
Post-Herpetic Neuralgia0725 · Commercial87Original policy ↗
PPI Limit Policy 168-H 04-2024168-H · Commercial—Original policy ↗
Praluent 2519-A Enhanced SGM P20232519-A · Commercial—Original policy ↗
Preconceptional Sex Selection Techniques0323 · Commercial20Original policy ↗
Premenstrual Syndrome and Premenstrual Dysphoric Disorder0512 · Commercial69Original policy ↗
Prenatal Care Provided by Primary Care Physicians0047 · Commercial11Original policy ↗
Pressure Reducing Support Surfaces0430 · Commercial23Original policy ↗
Pretomanid PA Policy 3195-A UDR 01-20243195-A · Effective Jan 1, 2024 · Commercial—Original policy ↗
Progestins0510 · Commercial13Original policy ↗
Prolia and Biosimilars SGM 2026-A P2024d2026-A P2024d · Commercial—Original policy ↗
Promacta 1928-A SGM P20211928-A · Commercial—Original policy ↗
Prostate Biopsy0698 · Commercial23Original policy ↗
Prostate Cancer Screening0521 · Commercial20Original policy ↗
Prosthetic Limb Vacuum Systems0630 · Commercial10Original policy ↗
Prothrombin Time (INR) Home Testing Devices0173 · Commercial5Original policy ↗
Protopic PA Policy 1255-A, 492-A UDR 04-20231255-A, 492-A · Commercial—Original policy ↗
Provigil PA with Limit Policy 178-C, 2814-C UDR 01-2024178-C, 2814-C · Commercial—Original policy ↗
Pulmonary Hypertension Treatments and Selected Indications of Prostanoids0184 · Commercial15Original policy ↗
Pulmonary Rehabilitation0032 · Commercial13Original policy ↗
Pulmozyme SGM 1886-A P20251886-A · Commercial—Original policy ↗
Pulmozyme SGM 1886-A P20261886-A · Commercial—Original policy ↗
Pulse Oximetry and Capnography for Home Use0339 · Commercial13Original policy ↗
Pulsed Dye Laser Treatment0559 · Commercial29Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.