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  Medical Coverage Guidelines - Provider Feedback

To view the utilization review criteria that CareCentrix uses in making medical necessity reviews, please click on the applicable link below. Health plans update the criteria regularly. Please check the links below frequently (at least monthly) to ensure you are aware of any updates.


To provide input to CareCentrix regarding the criteria above, contact CareCentrix directly via email at

CareCentrix does not own the various third party websites referenced above and makes no representation relating to the content or accuracy of the information contained therein. You are solely responsible for your interaction with such third parties, and we encourage you to read the terms of use and privacy policies before accessing any third party websites.

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