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/Index/QuickIntell/Source-backed payer policy and prior-authorisation rule database
Q

Source-backed payer policy and prior-authorisation rule database

QUICKINTELLManage supplier listing

Source-backed payer policy and prior-authorisation rule database: 41 payer-specific directories consolidating PA requirements, billing, coding and denial-workflow rules, each record carrying publication and effective dates, applicable product lines and states, service scope, CPT/HCPCS procedure-code references, documentation checklists, common denial risks and a citation to the controlling official payer source. Includes a Medicare coverage database view and payer-specific PA grids and preauthorisation lists (Commercial, Medicaid, CHP, HARP, CalViva Medi-Cal, Medicare drug PA) each tagged with effective dates. A separate Payer Intelligence API product exposes the same content programmatically.

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QuickIntell/Source-backed payer policy and prior-authorisation rule database
SampleCoverage

Sample

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Coverage

Universe, instruments and categories.

Industry
Health Care TechnologyLife and Health Insurance
Instruments
equities
Categories
Alternative
Reference
Regions
US
Sample tickers
UNHELVCVSHCATHCMDTISRGDXCMABTBAX
Dataset card
Type
not stated
Format
Structured rule records surfaced as directories and searchable by payer, policy, service, state or CPT/HCPCS code, with programmatic access via a dedicated Payer Intelligence API product; delivery is an index with citations rather than hosted copies of payer documents
Volume
41 payer-specific directories covering PA grids, preauthorisation lists, documentation checklists and denial risks across commercial, Medicaid and Medicare lines. Bounded estimate: low tens of thousands of distinct rule records, expanding to 10^6 rule-code-state-effective-date combinations once PA lists are expanded across CPT/HCPCS codes, states and plan variants.
Users
~50-300 healthcare-organisation seats (inferred: 18-employee RCM software vendor selling platform modules and managed services to practices and hospitals; per-organisation contracts rather than individual registrations)
History
2 years
Update frequency
not stated
Growth
Active and broadening — the product catalogue spans patient access, documentation and claims, payments and recovery, clinical and compliance, and a distinct Automation & AI Agents line (voice agents, payer portal bots, agent builder), which is an expanding rather than maintained portfolio; the policy database has explicit freshness and publication controls indicating continuous curation
Launched
not stated
Delivery
not stated
Entity mapping
not stated
Sample
not stated
Point-in-time
not stated
Licence
not stated

supplier index read from their site

QuickIntell has not added their own details yet. Not yet on file:

  • Dataset
  • Data dictionary
  • Coverage
  • Provenance
  • Rights & data handling