Database
Policy & Coverage
Every payer policy, in full spectrum.
Search thousands of plan medical coverage policies, see coverage for a therapy across every payer in one matrix, and get told when a policy changes. Get a rapid payer determination with the likelihood of approval and the documentation to add before you submit, so care is not held up by an avoidable denial.
Search a therapy across every payer
| Payer | Policy | Coverage | Updated |
|---|
Oncology Imaging · PSMA PET
Initial staging · CPT 78815
- Unfavorable-intermediate risk or higher
- PSA and Gleason documented
- No prior PSMA PET for staging
- Conventional imaging report attached
- Anthem RAD.00072Revised
- Cigna MM 0553Annual review
- Aetna CPB 0964Codes added
Coverage rules are public.Reading all of them was the problem.
How it works
4 steps from question to artifact.
Runs in the background. Documents are extracted and PHI-scrubbed locally in your browser before anything leaves it.
- Step 01
Monitor every source
Payer policy pages and bulletins are watched continuously; new and revised documents are pulled the day they post.
Sources · runs - Step 02
Extract the criteria
Each policy is read into structured criteria: indications, codes, exclusions, and documentation requirements.
Criteria · codes - Step 03
Build the coverage matrix
One therapy, every payer: covered, covered with criteria, or not covered, with the policy behind each cell.
Coverage matrix - Step 04
Alert on change
When a payer revises a policy, the diff and the affected therapies land in an audit-ready review queue.
Alerts · review
What you get
- 01
Thousands of policies
Commercial, Medicare Advantage, and Medicaid plans in one searchable library.
- 02
Coverage matrix
Any therapy across every payer, with the governing policy one click away.
- 03
Change monitoring
Automated detection of revisions, with a readable diff.
- 04
Audit-ready review
A review queue that records who saw what, and when.
- 05
Rapid determination
Coverage answer, likelihood of approval, and what to attach, before the request goes out.
- 06
API access
Policies, criteria, and coverage available programmatically.
1000s
Plan medical policies indexed
Daily
Source monitoring and change detection
1 view
Coverage for a therapy across every payer
Where it fits
Other products
- Prior AuthorizationResponder — appeal letters that win denied authorizations.
- P2P CopilotWalk into every peer-to-peer already knowing the objections.
- Submission CopilotKnow the likelihood of approval before you submit.
- Knowledge BaseFrom clinical question to trusted evidence.
- GravityFull revenue cycle management on a workflow you design.
Ready to see coverage in full spectrum?
Name a therapy. We will show you its coverage across every payer we track, and the last policy that changed.