Payer Policy Intelligence
Aetna CPBs, UHC medical policies, BCBS references, Cigna coverage criteria, Humana, Medicare LCD/NCD. Tracked daily. Your biller types a question, AI returns the cited answer in seconds.
PayerAgents is the AI built for billers — always-current payer intelligence, appeal letters drafted automatically, and cited sources you can actually use.
15 free queries or appeal letters · No credit card required
Tracking policies from




















Hello! I'm your Cigna Policy Assistant. Ask me about prior auth, appeals, coverage, or billing.
Select a payer to start...
Pick a payer
Click any payer to start a cited, source-linked conversation. New payers added on request, usually within a week.

Policy assistant

Policy assistant

Policy assistant

Policy assistant

Policy assistant

Policy assistant

Policy assistant

Policy assistant

Policy assistant
Capabilities
Aetna CPBs, UHC medical policies, BCBS references, Cigna coverage criteria, Humana, Medicare LCD/NCD. Tracked daily. Your biller types a question, AI returns the cited answer in seconds.
Paste the denial reason. AI drafts a complete denial appeal letter in 60 seconds, citing the exact payer policy clause that contradicts the denial. Your biller reviews, signs, submits.
Wrong CPT? Missing modifier? Bundled incorrectly? Denied for medical necessity you can prove? AI pulls the policy reference and drafts your dispute response in 60 seconds.
Every answer cites the source policy. HIPAA-compliant. Zero patient data retention. Your team always verifies before submitting.
What teams say
We mostly use it to figure out what Aetna and UHC actually want before we submit. Saves us a lot of phone calls. The cited source is what sold our compliance lead — she wouldn't let us use anything that didn't show its work.
Most useful for biologics PAs. The first-pass appeal letters need light editing, but the policy citation is correct, which is the part that took us hours before.
Honestly didn't expect much from another AI tool. It's the citations that won me over — every answer points to the actual CPB or LCD. We verify before we submit.
We use it across the team for first-pass denial reviews. Cut our re-work backlog noticeably in the first month. Doesn't replace our biller — gives her a faster starting point.
My biller used to interrupt me a few times a day to ask about prior auth criteria. Now she just looks it up. That's the whole pitch for me.
Set it up in an afternoon, no IT involvement. Two of our staff use it daily for prior auth research. Worth it for the time saved on coverage criteria lookups alone.
Quotes shared with permission. Practice names anonymized at customer request where indicated.
Pricing
15 free queries to get started, no credit card. Enterprise pricing scoped to your practice.
Try every feature. No credit card. No time limit.
For individual billers, practices, groups and RCM teams.
Frequently asked
Have a question we didn't cover? Get in touch
Resources
Field guides on prior authorization, denial prevention, appeal strategy, and AI in revenue cycle.
Why healthcare RCM teams lose recoverable revenue to manual workflows — and how AI is changing the equation.
A practical guide to navigating prior auth across Aetna, UHC, Cigna, BCBS, and UK ICB funding frameworks.
From denial prevention to automated appeals — what AI-powered RCM looks like in practice today.
Proven approaches to reducing denial rates, recovering disputed NHS income, and building a prevention-first programme.
How coding errors impact revenue and compliance — and what AI-assisted validation means for both systems.
Tell us about your organization. We'll arrange a personalized walkthrough within 24 hours — no pressure, no obligations.