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Policy Intelligence
for Healthcare

Research coverage policies from Medicare and commercial payers, check prior auth requirements, and follow policy changes. For billing, revenue cycle, and compliance teams.

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Backwork policy research showing documentation requirements from a CMS Medicare billing and coding article, with its source
Backwork policy research with policy metadata, source freshness, and extracted documentation requirements.
Read the requirement alongside its published source.How Backwork works

Medicare and commercial payers in one place

payers with published policies
70+
active coverage policies
33,000+
procedure, drug, and diagnosis codes referenced
74,000+

Commercial payers include Molina Healthcare, EviCore by Evernorth, Blue Cross Blue Shield of Michigan and Blue Care Network, UnitedHealthcare, AmeriHealth, and Independence Blue Cross. Medicare coverage comes from CMS local and national coverage documents. See every payer

Research for billing and revenue cycle teams

Find documentation requirements and check published policies against your team’s research.

Billing teams

Find the documentation a policy requires and read the source before preparing a claim.

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What documentation does this policy require?

Procedure codePayerJurisdiction
Published requirements and their sources

Revenue cycle teams

Compare policy evidence with your team’s research. Keep assumptions and open questions visible.

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Check the policy behind each finding.

Your existing researchPublished policy evidence
Review differences in the findings.

From a question to its source

  1. Ask a policy question

    Start with a code and payer, without patient information.

  2. Read the findings

    Review the requirements and their published sources.

  3. Verify the details

    Confirm the current policy and plan requirements with the payer.

Working with policy evidence

No. Backwork helps research published policy requirements. Your team still verifies patient eligibility, plan requirements, and coverage with the payer.

Start with your next policy question.

Create a Backwork account with your email or Google.

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Keep patient information out of your questions. Privacy Policy.