Payer Coverage Policy Tracking demo
A US map of where patients can get your medicines as contracted, and a change wire that reads every new payer policy, compares it with the last and checks it against the contract within the hour. 1:14
What the demo shows
A market access solution for access teams that tracks payer policy and PA criteria changes.
The Policy Watcher checks the largest plans every hour and every other source every 4 hours. Agents read each new version into structured criteria, compare it with the last version, quote the contract clause it meets or breaks and count the lives and patients it touches; the access map shows which states it moves. A person confirms every breach, the account director signs the notice and compliance approves every field brief.
Transcript
- Payer Coverage Policy Tracking catches payer policy and prior authorization changes for market access teams.
- Over half of specialty policies are stricter than the label and changes surface months late.
- The home is a map of where patients can get Veltrimab as contracted.
- At 8.40, Crestline Health posts a new policy.
- 32 minutes later, agents have read and checked it.
- A new step through Australix, a competitor.
- Ohio, Kentucky, and West Virginia drop out of the green.
- The red line marks every changed line, and the contract check quotes the two clauses it breaks.
- Lena confirms, and a cited notice drafts itself for Sam Patel to sign.
- Every payer policy change caught within a day of posting, checked against the contract.
- Build on Botminds, agents, data, screens, and governance on one platform.
Transcribed from the film’s narration. Captions are on the player.