Draft Medical Policies

To ensure that the development of medical policies occurs through an open, collaborative process, we welcome comments about medical policies that are in the draft stage. Our current draft policies are listed below.

Participating providers are invited to submit scientific, evidence-based information, professional consensus opinions and other information supported by medical literature relevant to these draft policies for consideration. We accept comments for 45 days from the posting date listed on the draft policy document.

Note: Coverage is subject to member's specific benefits. Group-specific policies will supersede these policies when applicable. Please refer to member's benefit plan.

How to Submit Comments on Draft Medical Policies

Complete our medical policy feedback form

Or send comments by mail or fax to:

  • Birmingham Service Center
    Attn: Health Management - Medical Policy
    P.O. Box 10527
    Birmingham, AL 35202
  • Fax: 205-220-0878


Policy # Policy Title Print View
MP-017 Wireless Capsule Endoscopy (Given® Video Capsule)
MP-712 Endoscopic Ultrasonography for the Upper Gastrointestinal Tract