View Medical Policies

For certain member contracts, the Health Plan has delegated utilization management of the following services to eviCore Healthcare MSI, LLC d/b/a eviCore Healthcare: implantable cardiac devices, radiology/imaging, radiation therapy, and musculoskeletal services (large joint replacement, pain management, and spine services). The Health Plan has adopted eviCore’s medical policies and guidelines as a basis for the determination of medical necessity and appropriateness of care.

Please refer member-specific questions to the Customer Care number on the back of the member card. Final determination of coverage is subject to the member’s benefits and eligibility on the date of service.

An error occurred while processing the template.
The following has evaluated to null or missing:
==> entry.getDownloadURL()  [in template "20116#20152#153064" at line 267, column 45]

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Tip: If the failing expression is known to legally refer to something that's sometimes null or missing, either specify a default value like myOptionalVar!myDefault, or use <#if myOptionalVar??>when-present<#else>when-missing</#if>. (These only cover the last step of the expression; to cover the whole expression, use parenthesis: (myOptionalVar.foo)!myDefault, (myOptionalVar.foo)??
----

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FTL stack trace ("~" means nesting-related):
	- Failed at: #assign download_url = entry.getDownl...  [in template "20116#20152#153064" at line 267, column 21]
----
1<#-- 
2    Name: Medical Policies 
3    Type: Asset Search Filter and Browse Template 
4    Intended for: Providers site Medical Policies page 
5    Uses content template: No 
6    Template intended to be used within an instance of the Asset 
7    Search Filter and Browse portlet for displaying a searchable 
8    and filterable list of Medical Policy entries (documents). 
9--> 
10<style> 
11	.m-auto{ 
12		margin: auto; 
13
14</style> 
15<#macro columnSortIcons is_sorted=false sort_direction=""> 
16    <span class="sort-icons"> 
17        <i class="fa fa-sort-down${(is_sorted && sort_direction == 'ASC')?string(' active', '')}"></i> 
18        <i class="fa fa-sort-up${(is_sorted && sort_direction == 'DESC')?string(' active', '')}"></i> 
19    </span> 
20</#macro> 
21 
22<#macro paginationList> 
23        <div class="col-12 col-sm-6 text-right"> 
24            <ul class="pagination"> 
25                <li class="page-item ${(1 == currentPage)?string('disabled inactive-link', '')}"> 
26                    <a href="${displayContext.getPaginationURL(1,sortField,sortOrder, isDDM)}" class="page-link"  
27                    aria-label="Previous"><span class="angle-left-icon" aria-hidden="true"></span></a> 
28                </li> 
29                <#if (totalPages < 10 )> 
30                <#list 1.. totalPages as i> 
31                        <li class="page-item ${(i == currentPage)?string('active', '')}"> 
32                            <a class="page-link" href="${displayContext.getPaginationURL(i,sortField,sortOrder, isDDM)}">${i}</a> 
33                        </li> 
34                </#list> 
35                <#else> 
36                    <li class="page-item ${(1 == currentPage)?string('active', '')}"> 
37                        <a href="${displayContext.getPaginationURL(1,sortField,sortOrder, isDDM)}" class="page-link"> 
38                        <span aria-hidden="true">1</span></a> 
39                    </li> 
40                    <#assign initialPage = currentPage - 2> 
41                    <#assign lastPage = currentPage +  2> 
42                    <#if (initialPage < 2)> 
43                            <#assign initialPage= 2> 
44                    </#if> 
45                    <#if (lastPage > (totalPages-1))> 
46                            <#assign lastPage= (totalPages-1)> 
47                    </#if> 
48                    <#if (initialPage > 2)> 
49                        <li class="page-item"> 
50                            <a class="page-link" > 
51                            <span aria-hidden="true">...</span></a> 
52                        </li> 
53                    </#if> 
54                    <#list initialPage.. lastPage as i> 
55                        <li class="page-item ${(i == currentPage)?string('active', '')}"> 
56                            <a class="page-link" href="${displayContext.getPaginationURL(i,sortField,sortOrder, isDDM)}"> 
57                            ${i}</a> 
58                        </li> 
59                    </#list> 
60                    <#if (lastPage < (totalPages-1))> 
61                        <li class="page-item"> 
62                            <a  class="page-link"> 
63                            <span aria-hidden="true">...</span></a> 
64                        </li> 
65                    </#if> 
66                    <li class="page-item ${(totalPages == currentPage)?string('active', '')}"> 
67                        <a href="${displayContext.getPaginationURL(totalPages,sortField,sortOrder, isDDM)}"  
68                        class="page-link"> 
69                        <span aria-hidden="true">${totalPages}</span></a> 
70                    </li> 
71                </#if> 
72                <li class="page-item ${(totalPages == currentPage)?string('disabled inactive-link', '')}"> 
73                    <a href="${displayContext.getPaginationURL(totalPages,sortField,sortOrder, isDDM)}" 
74                    class="page-link" aria-label="Next"> 
75                    <span class="angle-right-icon" aria-hidden="true"></span></a> 
76                </li> 
77            </ul> 
78        </div> 
79</#macro> 
80 
81 
82<#-- Date variable    .now?date?string.iso  --> 
83<#setting date_format="iso"> 
84<#assign today_date = .now?date> 
85 
86<#-- Form element variables --> 
87<#assign portletId = portletDisplay.getId()?split("_")?last /> 
88<#assign categorySelectId = "categories-" + portletId> 
89<#assign filterFormId = "filter-" + portletId> 
90<#assign noRecordsText = "No records found."> 
91<#assign resetBtnId = "btn-" + portletId> 
92<#assign resetTxtId = "txt-" + portletId> 
93<#assign resetBtnText = "Reset"> 
94<#assign searchFormId = "search-" + portletId> 
95<#assign showResetBtn = false> 
96<#assign categoryId = renderRequest.getParameter("categoryId")!0> 
97<#assign keywords = renderRequest.getParameter("keywords")!""> 
98<#assign requestURL = renderResponse.createRenderURL()> 
99<#if categoryId?number != 0 || keywords != ""> 
100    <#assign showResetBtn = true> 
101</#if> 
102 
103<#-- Paging and sorting --> 
104<#assign currentPage = (renderRequest.getParameter("page")!"1")?number> 
105<#-- Changed from previous versions --> 
106<#assign sortOrder = renderRequest.getParameter("sortOrder")!""> 
107<#assign sortField = renderRequest.getParameter("sortField")!""> 
108<#assign isDDM = (renderRequest.getParameter("ddm")!"true")?boolean> 
109<#if sortField != ""> 
110    <#assign sortField = sortField?split("_")?last> 
111</#if> 
112 
113<#if sortOrder=="ASC"> 
114    <#assign isAscending=false> 
115<#else> 
116    <#assign isAscending=true> 
117</#if> 
118 
119<#-- Handle dynamic column layouts based on portlet config & filter state --> 
120<#assign showSearch = displayContext.isDisplaySearch()> 
121<#assign showCategoryFilter = displayContext.isDisplayCategory()> 
122<#assign showSearchAndFilter = showSearch && showCategoryFilter> 
123<#assign resetColClass = showSearchAndFilter?string("col-4 col-sm-2 col-lg-2", "col-4 col-sm-3 col-md-2 col-lg-2")> 
124<#if showResetBtn> 
125    <#assign filterColClass = showSearchAndFilter?string("col-8 col-sm-4", "col-8 col-sm-9 col-md-10 col-lg-10")> 
126    <#assign searchColClass = showSearchAndFilter?string("col-12 col-sm-5 col-lg-5", "col-8 col-sm-9 col-md-10 col-lg-10")> 
127<#else> 
128    <#assign filterColClass = showSearchAndFilter?string("col-12 col-sm-4 col-lg-4", "col-12")> 
129    <#assign searchColClass = showSearchAndFilter?string("col-12 col-sm-6", "col-12")> 
130</#if> 
131 
132<div id="${portletId}" class="container-block search-filter-browse medical-policies"> 
133    <div class="row search-filter-browse__form"> 
134        <#if showSearch> 
135            <div class="${searchColClass}"> 
136                <form id="${searchFormId}" action="${renderResponse.createRenderURL()}" method="post"> 
137                    <div class="form-group"> 
138                        <label for="keywords" class="sr-only">Search By Name, Code or Category</label> 
139                        <i class="fa fa-search"></i> 
140                        <input id="keywords" 
141                            class="form-control" 
142                            type="search" 
143                            name="${renderResponse.getNamespace()}keywords" 
144                            value="${keywords}" 
145                            placeholder="${displayContext.getSearchPlaceholderText()}"/> 
146                        <input type="submit" value="Submit" style="display: none" /> 
147                    </div> 
148                </form> 
149            </div> 
150        </#if> 
151        <#if showSearch && showCategoryFilter> 
152            <div class="col-12 col-sm-1 text-center"> 
153                <strong class="text-large">or</strong> 
154            </div> 
155        </#if> 
156        <#if showCategoryFilter> 
157            <div class="${filterColClass}"> 
158                <form id="${filterFormId}" action="${renderResponse.createRenderURL()}" method="post"> 
159                    <label for="${categorySelectId}" class="sr-only">Select a Category</label> 
160                    <select class="form-control" id="${categorySelectId}" name="${renderResponse.getNamespace()}categoryId"> 
161                        <option value="0" selected="selected">${displayContext.getCategoryPlaceholderText()}</option> 
162                        <#if displayContext.getCategories()?has_content> 
163                            <#list displayContext.getCategories() as category> 
164                                <#if categoryId?string == category.getCategoryId()?string> 
165                                    <option value="${category.getCategoryId()}" selected="selected"> 
166                                        ${category.getName()} 
167                                    </option> 
168                                <#else> 
169                                    <option value="${category.getCategoryId()}"> 
170                                        ${category.getName()} 
171                                    </option> 
172                                </#if> 
173                            </#list> 
174                        </#if> 
175                    </select> 
176                </form> 
177            </div> 
178        </#if> 
179        <#if showResetBtn> 
180            <div class="${resetColClass} text-center"> 
181                <button class="btn btn-sm btn-primary" id="${resetBtnId}">${resetBtnText}</button> 
182            </div> 
183        </#if> 
184    </div> 
185    <#if entries?has_content> 
186        <#if displayContext.isPagination()> 
187            <div class="row pagination-container"> 
188                <#assign paginationNumber = 1> 
189                <#assign pageSize = displayContext.getPageSize()> 
190                <#assign totalPages = displayContext.getTotalPages()> 
191                 
192                 
193                <#assign totalRecords = displayContext.getTotalRecords()> 
194                <#-- If a medical policy has a TerminationDate filled in and the date is today or in the past, then remove it from the page count as it won't be displayed --> 
195                <#list entries as entry> 
196                   <#assign term_date = entry.getDDMFieldValue("TerminationDate")!""> 
197                        
198                         <#if (term_date?has_content && ((term_date?date) <= today_date)) > 
199                          
200                            <#assign totalRecords = totalRecords - 1> 
201                          
202                        </#if> 
203                </#list> 
204                 
205                 
206                <#if pageSize != 0> 
207                    <#assign paginationNumber = (totalRecords / pageSize)?ceiling> 
208                </#if> 
209                <div class="col-12 col-sm-6"> 
210                    <#assign initialNo = ((currentPage - 1) * pageSize) + 1> 
211                    <#assign lastNo = (currentPage * pageSize)> 
212                    <#if (lastNo > totalRecords)> 
213                        <#assign lastNo = totalRecords> 
214                    </#if> 
215                    <small class="results-summary" tabindex="0">Showing ${initialNo}&ndash; 
216                    ${lastNo} of ${totalRecords} Results</small> 
217                </div> 
218                <@paginationList /> 
219            </div> 
220        </#if> 
221        <table class="table"> 
222            <colgroup> 
223                <col style="width: 70%;"> 
224                <col style="width: 15%;"> 
225                <col style="width: 15%;"> 
226            </colgroup> 
227            <thead> 
228                <tr> 
229                    <th> 
230                        <a href=" ${displayContext.getSortingURL('Title', isAscending, true)}"> 
231                            ${displayContext.getDDMFieldLabel("Title")!""} 
232                            <@columnSortIcons is_sorted=(sortField == "Title") sort_direction=sortOrder /> 
233                        </a> 
234                    </th> 
235                    <th> 
236                        <a href=" ${displayContext.getSortingURL('LastUpdated', isAscending, true)}"> 
237                            ${displayContext.getDDMFieldLabel("LastUpdated")!""} 
238                            <@columnSortIcons is_sorted=(sortField == "LastUpdated") sort_direction=sortOrder /> 
239                        </a> 
240                    </th> 
241                    <th> 
242                        Category 
243                    </th> 
244                </tr> 
245            </thead> 
246            <tbody> 
247                <#list entries as entry> 
248                 
249                <#assign term_date = entry.getDDMFieldValue("TerminationDate")!""> 
250                <#-- don't display entries with a term date of today or in the past --> 
251                 <#if ((!term_date?has_content) || ((term_date?date) >= today_date)) >                 
252                 
253                   <#assign effective_stmt = " ">  
254                     
255                   <#assign effective_date = entry.getDDMFieldValue("EffectiveDate")!""> 
256                      
257                    <#if effective_date == "">   
258                           <#assign effective_stmt = " ">   
259                    <#else>   
260                        
261                         <#if (today_date < effective_date?date) >     
262                          <#assign effective_stmt = "(Effective " + effective_date + ")"> 
263                          </#if> 
264                    </#if>   
265                    
266                 
267                    <#assign download_url = entry.getDownloadURL()?trim> 
268                    <#assign document_title = entry.getDDMFieldValue("Title")!""> 
269                    <#assign policy_id = entry.getDDMFieldValue("PolicyID")!""> 
270                    <tr> 
271                        <td> 
272                            <#if download_url != ""> 
273                                <a class="pdf-icon" href="${download_url}" target="_blank"> 
274                                    ${document_title} ${effective_stmt!""}  
275									<span class="sr-only">Open a PDF</span> 
276                                    <span class="text-black">${policy_id}</span> 
277                                </a> 
278                            <#else> 
279                                ${document_title} 
280                                <span class="text-black">${policy_id}</span> 
281                            </#if> 
282                        </td> 
283                        <td>${entry.getDDMFieldValue("LastUpdated")!""}</td> 
284                        <td> 
285                            <#if displayContext.getCategories()?has_content> 
286                                ${entry.getCategoryName()!""} 
287                            </#if> 
288                        </td> 
289                    </tr> 
290                </#if> 
291                 
292                </#list> 
293            </tbody> 
294        </table> 
295        <#if displayContext.isPagination()> 
296            <div class="row pagination-container"> 
297                <#assign paginationNumber = 1> 
298                <#assign pageSize = displayContext.getPageSize()> 
299                <#assign totalPages = displayContext.getTotalPages()> 
300<#-- Use value calculated above  <#assign totalRecords = displayContext.getTotalRecords()>  --> 
301                <#if pageSize != 0> 
302                    <#assign paginationNumber = (totalRecords / pageSize)?ceiling> 
303                </#if> 
304                <div class="col-12 col-sm-6"> 
305                    <#assign initialNo = ((currentPage - 1) * pageSize) + 1> 
306                    <#assign lastNo = (currentPage * pageSize)> 
307                    <#if (lastNo > totalRecords)> 
308                        <#assign lastNo = totalRecords> 
309                    </#if> 
310                    <small class="results-summary">Showing ${initialNo}&ndash; 
311                    ${lastNo} of ${totalRecords} Results</small> 
312                </div> 
313                <@paginationList /> 
314            </div> 
315        </#if> 
316    <#elseif displayContext.isSearchError()> 
317        <h3 class="text-center">${displayContext.getSearchErrorMessage()}</h3> 
318    <#else> 
319		<div class="flex-container"> 
320			<div class="flex-item-center m-auto"> 
321				<p><strong>${noRecordsText}</strong> Try a new search term, or reset your search.</p> 
322				<p><strong>Suggestions:</strong></p> 
323				<ul> 
324					<li>Make sure all words are spelled correctly</li> 
325					<li>Try different keywords</li> 
326					<li>Try more generic keywords</li> 
327					<li>Try fewer keywords</li> 
328				</ul> 
329			</div> 
330		</div> 
331    </#if> 
332</div> 
333<script type="text/javascript"> 
334    $(function () { 
335        var $categorySelect = $('#${categorySelectId}'); 
336        var $filterForm = $('#${filterFormId}'); 
337        var $resetBtn = $('#${resetBtnId}'); 
338        var $searchForm = $('#${searchFormId}'); 
339        var $portletContainer = $('#${portletId}'); 
340        var $hasCategoryResults = $filterForm.find('select').val(); 
341        var $hasSearchResults= $searchForm.find('#keywords').val(); 
342        var $resultsSummary = $portletContainer.find('.results-summary'); 
343        var $portletPosition= $portletContainer.offset().top; 
344 
345        // Handle search form 
346        $searchForm.keydown(function(e) { 
347            if (e.which === 13) { 
348                $(this).submit(); 
349
350        }); 
351        // Handle category filter 
352        $categorySelect.change(function() { 
353            $filterForm.trigger('submit'); 
354        }); 
355        // Handle reset button 
356        $resetBtn.on('click', function() { 
357            if ($searchForm.length) { 
358                $searchForm.find('input').val(''); 
359                $searchForm.submit(); 
360            } else { 
361                $categorySelect.val(0); 
362                $filterForm.submit(); 
363
364        }); 
365        // Foxus on summary text if results returned 
366        if(($hasSearchResults || ($hasCategoryResults && $hasCategoryResults!=0))  
367                && $resultsSummary.length){ 
368            $portletContainer.find('.results-summary').focus(); 
369
370        //Positioning the portlet 
371        //$('body , html').animate({scrollTop : $portletPosition}); 
372    }()); 
373</script> 

 

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