Covered lives, tracked
Covered-lives estimates for every payer in scope, populated automatically wherever the data is resolvable — and clearly marked as unresolved rather than guessed at when it isn't.
Payer coverage, tracked
Every CPT code. Every payer. One nexus.
Policy Nexus tracks CPT-code coverage across every payer that matters to you — so your team always knows what's covered, what's changed, and what needs a second look.
Every code, every payer — tracked continuously
What Policy Nexus does
Coverage intelligence, not spreadsheets
Three things every team tracking payer policy needs — built in from day one.
Policy changes, flagged
Get flagged the moment a payer's policy is drafted, under review, or scheduled for an upcoming change — before it affects a claim, not after.
Every source, registered
Every payer's policy source is registered and monitored, including portals that require a login — so nothing falls through because it was behind a wall.
AetnaAnthemCignaHumanaKaiser PermanenteUnitedHealthcare+ dozens more
Commercial and Medicare Advantage payers, per the current contracted payer scope.
From website to workspace
The plan you build is the product you log into
No re-learning a second interface. Your payer list, your codes, your seats — the workspace after sign-in mirrors exactly what you configured on the website.
app.jdlapolicynexus.pro — monitoring
See your exact price in under a minute — no call needed unless you're Enterprise.
See pricing