2023-11-30

Healthcare Insurance - Payor policies - What is with all the names?

Health insurance across the US has adopted their own languages, not only across the healthcare industry, but within each payor. If your staff is tasked with locating and reading payment policies you know how time-consuming and confusing it can be, not only to find the policies but to understand the contents. 

Does your staff spend time searching for Payor Payment/Coverage Policies?  

Are they baffled by the nomenclature found from payor to payor? 

ZignaAI found this interesting too. Our goal is to provide transparency and clarity to the information used by payors and providers in payment integrity.  

 Here are a few examples: 

  • Coverage Guidelines
  • Medical Policies
  • Medical Benefit Drugs
  • Medical Necessity Guidelines
  • Medical Clinical Policy Bulletin
  • Reimbursement Policies
  • Medical Necessity Decision Policy
  • Coverage Benefit Policies
  • Drug and Biologic Coverage Policy
  • Behavioral Health Coverage Policy
  • Pharmacy Clinical Policy Bulletin
  • Claim Payment Policy Bulletin

ZignaAI has a solution to make finding and comparing policies easier: RevMaxAI Payment Policy Catalog.

The RevMax payment policy catalog was built to find payment policy information quickly, clearly and in one location. Are you tired of jumping from one payment policy site to the next only to end up with little to none of the information you were researching? We were too, so we found a solution and set to work building a catalog of policies. Here, research is faster and much more rewarding.  

Find the policies you need quickly and with confidence. 

Sound interesting? Reach out for a discussion on how we might help your organization.

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