| Anthem Blue Cross | Home Parenteral Nutrition | 2025-07-01 |
| Anthem Blue Cross | Clinical Utilization Management (UM) Guideline for Pre-Payment Review Medical Necessity Determinations When No Other Clinical UM Guideline Exists | 2025-07-01 |
| Anthem Blue Cross | Pediatric Gait Trainers | 2025-07-01 |
| Anthem Blue Cross | Cervical Traction Devices for Home Use | 2025-07-01 |
| Anthem Blue Cross | Noninvasive Home Ventilator Therapy for Respiratory Failure | 2025-07-01 |
| Anthem Blue Cross | Testing for Oral and Esophageal Cancer | 2025-07-01 |
| Anthem Blue Cross | Nucleic Acid Amplification Tests Using Algorithmic Analysis for the Diagnosis of Vaginitis | 2025-07-01 |
| Anthem Blue Cross | Outpatient Glycated Hemoglobin and Protein Testing | 2025-07-01 |
| Anthem Blue Cross | Moderate to Deep Anesthesia Services for Dental Surgery in the Facility Setting | 2025-07-01 |
| Anthem Blue Cross | Auditory Brainstem Responses (ABRs) and Evoked Otoacoustic Emissions (OAEs) for Hearing Disorders | 2025-07-01 |