JavaScript is disabled or unavailable.Archived Medical PoliciesThe policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it . Navigate # A B C D E F G H I J K L M N O P Q R S T U V W X Y ZB Benefits Coordination C Coordination of Benefits H Home Health Services Home Health Services N Non-Emergency Facility to Facility Transfers P Peroral Endoscopic Myotomy (POEM) Peroral Endoscopic Myotomy (POEM) Personal Emergency Response System Personal Emergency Response System Personal Emergency Response Systems Personal Emergency Response Systems S Sacroiliac Joint Procedures Sacroiliac Joint Procedures T Trigger Point Injections Trigger Point Injections Trigger Point Injections