Active Notifications
The notifications listed below represent new policy versions that are scheduled to become active on the intended Policy Effective Date. These notifications allow you to become familiar with the new policy version in advance of its release. Please check back frequently as notifications are posted often.

Note: The documents below are strictly notifications of future policy updates. The positions and criteria addressed in the notification are not enforced until the Policy Effective Date. To view current company policies, go to the Policy Bulletins section of this site or click here.

Policy Effective Date
Notification Title
Notification Issue Date
Show details for 03/30/202003/30/2020
Show details for 04/01/202004/01/2020
Show details for 04/15/202004/15/2020
Show details for 04/20/202004/20/2020
Show details for 04/21/202004/21/2020
Show details for 05/15/202005/15/2020
Show details for 05/17/202005/17/2020
Show details for 05/18/202005/18/2020
Hide details for 06/15/202006/15/2020
Artificial Intervertebral Disc Insertion
Denervation of the Spinal Nerves for Chronic Pain
Epidural, Paravertebral Facet, and Sacroiliac Joint Injections for Spinal Pain Management
Show details for
Meniscal Allograft Transplantation and Meniscal Implants
Show details for
Musculoskeletal Services (Independence)
Spinal Cord and Dorsal Root Ganglion Stimulation
Spinal Discectomy
Spinal Fusion
Spinal Laminectomy

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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.