Unified directory of payer coverage policies for prior authorization workflows. Contains coverage decisions linking payers to products and procedures with medical necessity criteria, documentation requirements, and billing codes. Supports skin substitutes, ENT procedures, and extensible to other therapeutic areas. Primary use case: answering 'Is patient X covered by Payer Y for Product/Procedure Z with Indication W?' and 'What documentation is needed?'
| Name | Aliases | Policy Portal URL | Prior Auth Fax | Prior Auth Phone | Type |
|---|---|---|---|---|---|
| Cigna | Cigna Companies, Evernorth, Cigna Healthcare | https://cignaforhcp.cigna.com | 1-877-217-7476 | 1-800-244-6224 | Commercial |
| UnitedHealthcare |
Name | Aliases | Policy Portal URL | Prior Auth Fax | Prior Auth Phone | Type |
|---|