PayerGraph

Search policies

Browse and filter medical policies by payer, plan type, coverage area, and code.

Select all

Relationship type

Codes

Selected

	Policy #	Title	Payers	Plan types	Coverage	Status	Codes

PayerGraph

Policy assistant

Ask about payers, coverage, criteria, and code relationships — answers are grounded in the policy store.

Hi — I can search the policy store, check whether a code is covered, and walk through a policy's medical-necessity criteria. Try one of these:

POLICY DOCUMENTS

Policies the assistant cites will appear here with links to the source documents.

PayerGraph

Validate codes

Check a predicted code set against the payer's own coding rules — bundling edits, exclusions, and criteria-gated coverage, each with a verbatim policy citation.

Payer

Date of service

Laterality

Codes (+ modifiers, comma-separated)

Advisories will appear here — block (policy prohibits), warn (allowed only under a documented condition), info (criteria/frequency to check).

Generate appeal letter

Denial information + the patient's clinical note. Anything left blank becomes a bracketed placeholder in the letter — nothing is invented.

Patient name

Date of birth

Insurance payer

Date of service

Denial code

Denial date

Denial context / reason (free text)

Codes on the claim

Clinical note — HPI

Physical exam

Procedure

Assessment / plan

API key

Requests are sent with this x-api-key. It is stored only in this browser.