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Backwork

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Backwork provides payer coverage intelligence for medical billing, revenue cycle, and prior authorization teams. It helps teams research Medicare and commercial payer coverage requirements, search payer policies, look up medical codes, review prior authorization requirements, and validate claims against cited sources. Teams can use Backwork's web application to research policy requirements by code, procedure, payer, and jurisdiction. Coverage research includes links to source policies so teams can review the evidence behind their findings. Backwork also offers an API and MCP server for connecting payer coverage research to existing workflows and AI tools.

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