Real-Time Payer Policy Visibility
Real-time payer policy intelligence for faster, safer reimbursement decisions. Stop chasing PDFs and portals. Open Payer centralizes payer medical policies, prior authorization requirements, and coverage criteria into a single searchable system. Powered by AI, it continuously ingests and structures policy documentation so teams can understand current payer requirements by CPT code, service, or payer in seconds.
Explore OpenPayer
Why Healthcare Providers Choose OpenPayer
Unified Policy Repository
A centralized library of payer policies and supporting documentation that teams can search and reference easily.
Policy Search by CPT and Service
Find prior authorization and coverage requirements using CPT code, clinical keywords, or payer-specific queries.
Subscriptions and Change Alerts
Follow the policies that matter most and get notified when criteria, requirements, or documentation rules change.
Policy Intelligence Sharing
Develop and distribute standardized internal policy publications for organization-wide visibility and alignment.
How It Works
From fragmented documents to actionable policy intelligence
1
Ingest payer policy documentation across sources and formats.
2
Structure unstructured policy language into searchable, organized content.
3
Search by CPT code, service, payer, region, and more to get policy answers quickly.
4
Create and distribute standardized internal policy publications for organization-wide use.
5
Monitor changes and receive alerts when policies update.
6
Act with confidence using consistent policy intelligence tied to reimbursement workflows.
Frequently Asked Questions
How is Open Payer different from payer portals?
Instead of searching multiple payer sites, Open Payer enables a unified search across payers by CPT code, service, or payer, all in one platform.
What types of policies are included?
Medical policies, prior authorization requirements, coverage criteria, and related documentation that directly impact reimbursement.
How do users search for policies?
Search by CPT code, service, modality, payer, or plain-language questions without reviewing PDFs.
How are policy updates handled?
Open Payer continuously monitors changes and allows users to subscribe to policies and receive alerts.
Are Open Payer updates provided in real-time?
Yes. Policy documentation is continuously ingested and updated as changes occur.