
Voyant Payer Policy Database answers the questions billing, coding, AR/denials, and prior auth teams ask every day: Does this payer require prior authorization for this CPT code? What criteria and documents does it want? What did the policy say on the date of service, and what has changed since? Search by CPT code, diagnosis code, payer or keyword, set the date of service, and get the policy version that was in force on that date, not today's. Each result shows prior authorization as Yes, No or Conditional, the medical necessity criteria by indication, and the required documents, kept separate for the auth request, the claim and medical necessity review. Every record links to the source policy. The database covers hundreds of payers and tens of thousands of policies across commercial, Medicare, Medicare Advantage and Medicaid. Every version is kept with its effective date, and the library is updated daily. It covers reimbursement policies as well as coverage policies: modifier payment values, payer frequency and unbundling edits beyond NCCI, global surgical package splits, provider-type modifiers, and an MUE and NCCI code check. Teams use it to get prior auths approved the first time, code and scrub claims the way each payer actually pays, catch policy changes before they turn into denials, and win medical necessity appeals with written policy language effective on the date of service. An API delivers the full library as structured data for claim scrubbers, denial-audit tools and billing automation. Built and quality-checked by former medical billing company operators. The free trial runs on the standard payer library with no credentials or setup call.

Voyant provides the analytics that EHR systems such as Tebra, eClinicalWorks, and AdvancedMD are missing. It extracts and cleans data directly from your system, and delivers browser-based dashboards for practice analytics, marketing and patient referrals, AR, contract performance, denials management, provider performance, and staff productivity, drillable to the individual claim. Get the answers you need and no rebuilding the same Excel reports every month. It answers the questions built-in reports can't: Which payers and CPT codes are driving our denials? What is our AR by payer and age bucket, and is it improving? Which providers and billers are producing? Are payers paying the contracted rate? Dashboards include AR by payer, provider and aging bucket; denial rate by payer, CPT and ICD with remark code analysis and appeal tracking; 835/ERA data extraction; provider performance and CPT utilization; biller and collector productivity; claim routing and work queues; payment integrity, comparing expected to actual payments to find underpayments; and referral source tracking. Billing companies can combine data from several EHR and PM systems into one view. Also supports athenahealth, Veradigm/Allscripts, NextGen, ModMed, DrChrono, Practice Fusion, Greenway, CareCloud, and others. Onboarding takes about 5 minutes. Built by founders who ran a national medical billing company. No long-term contract and a 30-day money-back guarantee.
Voyant Health is a premier healthcare consulting firm delivering revenue acceleration and RCM technology solutions that improve profitability for healthcare providers and medical billing companies. We are a team of experienced healthcare executives, data scientists, engineers, and revenue cycle leaders and operate at the intersection of cutting-edge technology, efficient revenue cycle management, and streamlined operational processes, delivering results that matter. With two decades of experience, Voyant Health has a proven track record of providing solutions for healthcare providers and medical billing companies that improve financial results. Our team leverages deep industry knowledge and innovative approaches to tackle revenue cycle and technology challenges, ensuring our clients achieve their business objectives. Trust us to provide the insights and solutions you need to stay ahead in the ever-evolving healthcare landscape.