| BCBS Premera WA AK Clinical | Blepharoplasty, Blepharoptosis and Brow Ptosis Surgery | 2026-08-24 |
| BCBS Premera WA AK Clinical | Lumbar Spine Decompression Surgery: Discectomy, | 2026-08-24 |
| BCBS Premera WA AK Clinical | Cervical Spine Surgeries: Discectomy, Laminectomy, and | 2026-08-24 |
| BCBS Premera WA AK Clinical | ASAM Criteria: Services Reviewed for Medical Necessity | 2026-08-24 |
| BCBS Premera WA AK Clinical | Reconstructive Breast Surgery/Management of Breast | 2026-08-24 |
| BCBS Premera WA AK Clinical | Drug Quantity Management | 2026-08-24 |
| BCBS Premera WA AK Clinical | Radiation Oncology: Services Reviewed by Carelon | 2026-08-24 |
| BCBS Premera WA AK Clinical | InterQual Criteria: Services Reviewed for Medical Necessity | 2026-08-24 |
| BCBS Premera WA AK Clinical | Advanced Imaging and Site of Care: Services Reviewed by | 2026-08-24 |
| BCBS Premera WA AK Clinical | Sleep Disorder Management: Services Reviewed by | 2026-08-24 |