Payer Policy Intelligence

Find out about payer policy changes before your claims do.

PolicyWatch monitors your entire payer mix — government and commercial alike — every day, and turns every policy change into a plain-English alert before it costs you a denial.

Free to search right now — no signup. Create a free account to keep going; Policy Finder stays free either way.

Illustrative preview.

Every payer you're in network with, tracked daily — no matter who they are.

UnitedHealthcareAetnaCignaHumanaCenteneWellcareOscar HealthAmbetterCMS
Free tool

Find the policy behind the denial. Right now.

Search by payer, CPT code, service, or topic. Every result links straight to the payer's own document — not a summary of a summary, the actual source, checked daily, across every major payer we track.

You get one search free. After that, create a free account to keep going — unlimited searches, free forever. Paid plans are where PolicyWatch starts watching for you: daily scans, plain-English alerts, and a dashboard that keeps your team ahead.

Free right now, no signup · Every major payer · Source-linked
Built for

Teams that carry the cost of a missed update.

Complex payer policies, compliance exposure, and shifting reimbursement — PolicyWatch surfaces the changes that quietly reduce revenue, delay claims, and disrupt workflows.

Health Plans

Margins are tightening. Use nationwide surveillance to confirm your Medicaid and Medicare configuration is applied correctly — and manage cost before it compounds.

Nationwide configuration checksCost-management signal

Hospitals

A single missed update can touch thousands of claims across departments. PolicyWatch delivers payer intelligence straight to revenue cycle leadership — preventing denials and rework.

Denial preventionDepartment-level routing

Billing & Managed Care

From modifiers to edits to new documentation rules, PolicyWatch keeps your team in sync with every payer update — across all products you support.

Modifier & edit trackingAll lines of business
Efficiency Report 2026

Your team burns 880 hours a year chasing payer updates.

The manual process of checking payer portals is archaic. Here's where the time actually goes — and how much of it PolicyWatch gives back.

Hours manual / year880
Payer site checks240
Reading policies190
Meetings & briefings150
Denial appeals120
Corrected claims100
Overpayment recoveries80
<100
Hours with PolicyWatch
780+
hours saved
<1 mo
payback period
>$25K
staff cost protected
>$50K
denials avoided

ROI example assumes 7 employees tracking payer policy updates, totaling ~880 hours annually. Actual results vary.

See what this looks like for youTry Policy Finder Free
How it works

Precision intelligence in four steps.

Track, summarize, and customize payer policy updates — so you stay informed, compliant, and ahead of costly surprises.

01

Monitor

Daily scans of payer sites across your entire payer mix — government and commercial alike. Clinical, reimbursement, and administrative policies — plus effective dates and version changes.

02

Summarize

Dense policy PDFs become plain-English alerts. Our team and policy-trained automation condense every change, so nobody on your staff reads legal language for hours.

03

Customize

You decide what you follow: your states, your payers, your lines of business. No noise from products you don't support — change your selections at any time.

04

Stay Ahead

Alerts land in weekly or daily digests and in your dashboard, flagged for material impact — early enough to configure, appeal, or renegotiate.

Plans

Coverage that scales with your team.

Straightforward per-user pricing. Start free, upgrade in minutes — no waiting on a callback.

Lite

$0
Policy Finder — unlimited searchesEvery result linked to the payer's own documentUpgrade to Starter or Professional anytime
Sign Up Free

Starter

$49/user/month
Everything in LiteDaily monitoring across your full payer mixPlain-English alerts + email digestsFocused Dashboard — changes sorted and triaged
Get Starter — No Sales Call
Recommended

Professional

$99/user/month
Everything in StarterCode Explorer — requirements by procedure code, across your payersCode-level change history and freshness
Get Professional — No Sales Call

Enterprise

Custom
Everything in ProfessionalMarket Rates — payer rates benchmarked against MedicareChat — plain-language answers, cited to the source policyWhite-glove onboardingBulk pricing for multi-user teams

Per user, billed annually. Add or remove seats anytime.

Already using Policy Finder? Your free account carries everything over — no re-entering your search history.

FAQ

Questions we get on every call.

Still unsure? Run a search in Policy Finder — free, no signup — and see it for yourself.

Manual checking burns hours and still misses changes. Payers don't announce updates — they bury them in portals and PDFs. PolicyWatch automates discovery so your team spends its time protecting revenue instead of hunting documents.

Stop finding out through a denial.

PolicyWatch catches the policy change the morning it publishes — before a single claim goes out under the old rules.

Free to search right now — no signup. Create a free account to keep going; Policy Finder stays free either way.