Medical Policy UpdatesCoOportunity Health has Medical Policies that contain coverage criteria and guidelines that describe how we make coverage decisions for certain health care services and items. Please call our Member Services Department at 1.888.324.2064 if you have any questions.
The information presented regarding coverage criteria and guidelines is regularly updated and is subject to change without notice. Read more…
If unsure of the keyword spelling, enter the first three letters of the word followed by an asterisk (*). Example: enter acu* to locate the acupuncture policy.
Policy search filters
| Policy name | Policy category | Product | Prior authorization required |
|---|---|---|---|
| Naltrexone for extended-release (Vivitrol®) | Pharmacy | CoOportunity Health Iowa Nebraska | No |
| Natalizumab (Tysabri®) | Pharmacy | CoOportunity Health Iowa Nebraska | Yes |
| Nebulizer | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Needles/syringes | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Negative Pressure Wound Therapy (NPWT) / Vacuum-Assisted Wound Closure Therapy (V.A.C.) | Equipment/Supplies | CoOportunity Health Iowa Nebraska | No |
| Nerve conduction studies (using automated devices) | Investigational | CoOportunity Health Iowa Nebraska | No |
| Neuromuscular electrical stimulator (NMES) | Equipment/Supplies | CoOportunity Health Iowa Nebraska | Yes |
| Neuropsychological testing | Behavioral Health Medical Services | CoOportunity Health Iowa Nebraska | No |
| Nivolumab (Opdivo®) | Pharmacy | CoOportunity Health Iowa Nebraska | Yes |
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CoOportunity Health has contracted with HealthPartners Administrators, Inc. to provide claims processing, medical management and certain other administrative services.