Payer Policy Monitoring & Access Intelligence
Track payer documents over time, detect changes, and answer questions with citations to source text.
Policy library
Ingested and versioned per plan. Changes are tracked and citeable.
| Doc | Type | Updated | Version | Risk |
|---|---|---|---|---|
PAY-0142 Plan A NY | PA Criteria | 2025-11-18 | v4 | High |
PAY-0301 Plan A NY | Formulary Note | 2025-11-20 | v1 | Medium |
Versioning
Policy history preserved
Change detection
Meaningful deltas flagged
Citations
Always traceable to source
Recent changes
A “what changed and where” timeline for the selected plan.
Plan A (NY)
2025-11-18
Added prerequisite language that increases documentation burden for initial approval.
PA Criteria v4: PAY-0142 • Section 2 • p.3Delta: v3 → v4 • highlighted lines 14–21
Ask a policy question
Demo: responses show citations to payer documents.
Question
“What changed in renewal criteria this quarter for Plan A?”
Answer (demo)
Renewal language was clarified and a new lab requirement was added for continuation in the latest policy update.
PAY-0199 • Renewal • p.5v1 → v2 • lines 8–12
In production, answers are constrained to in-scope documents and preserved with an audit trail.