Draft Medical Policies
BlueCross BlueShield of Tennessee


BlueCross BlueShield of Tennessee works to ensure that Medical Policies are developed in an open, collaborative manner with our providers. We invite you to submit comments during the development phase of our Medical Policies.


Medical policies are developed using an evidence-based evaluation process. The medical evidence used in this process comes from several sources, including independent medical technology review organizations, the peer reviewed medical literature, and expert opinions from BCBST network specialists. We especially welcome comments that include this type of information. All Medical Policies are reviewed and approved by a panel of BCBST Medical Directors as well as board certified network physicians before final adoption by the company.

Tracking Number

Medical Policy Name

Beginning of Comment Period

End of Comment Period

DMP0715-01 Sublingual Liquid Immunotherapy 07/13/15 08/13/15
DMP0715-02

Breast Reconstructive and Symmetry Surgery Following Mastectomy

07/13/15 08/13/15
DMP0715-03

LASIK

07/13/15 08/13/15
DMP0715-04

Upper Limb Myoelectric Orthosis

07/13/15 08/13/15
DMP0715-05

Golimumab for Intravenous Infusion

07/15/15 08/15/15
DMP0715-06

Keratoprosthesis

07/24/15 08/24/15
DMP0715-07

Filgrastim and Pegfilgrastim

07/24/15 08/24/15
DMP0715-08 Carfilzomib 07/28/15 08/28/15

 


Medical Policy Comments:

Please reference the policy name or tracking number in your comments.
To submit comments about the draft Medical Policies:
Click the “Medical Policy Comments” above or click here: Comments or Feedback.

Comments can also be mailed to:

BlueCross BlueShield of Tennessee
Medical Policy
1 Cameron Hill Circle
Chattanooga, TN 37402