Policy Intelligence

Policy
Intelligence

Understand payer policy before claims are submitted.

Surface medical necessity, documentation, coding, and coverage risks earlier.

Medical Necessity

LCD / NCD

Payer Rules

Payer Policy

Documentation

Coverage Limits

Explain Every Risk

Show the policy source and why the order was flagged.

Prioritize by Impact

Focus teams on high-risk payer and medical necessity issues.

Guide Resolution

Suggest the next best action for each policy issue.

How It Works

Turn complex payer rules into clear action

Automatically analyze payer policy, identify risks, and give your team the context to resolve them.

1

Order Data

A new order is created with patient and insurance details.

2

Policy Engine

SignalDX analyzes payer policy, medical necessity, and coverage rules in real time.

3

Explainable Risk

Potential issues are identified and explained with policy sources and reason codes.

4

Clean Order

The order moves forward, ready for care and claims.

Built for Modern Healthcare

Catch policy risk earlier and give review teams the context they need to resolve it.

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