Healthcare providers spend countless hours navigating payer websites, sifting through dense PDF documents, and searching for the latest coverage rules. To eliminate that burden, Calvient has partnered with PolicyBot, giving providers instant access to up-to-date medical policies directly within the Calvient platform. Even better — this new feature is completely free for all users.
The Challenge: Payer Policies Are Hard to Track
Every insurer publishes its own medical policies, which change frequently and are often buried in long documents. The result:
- Time-consuming searches across multiple payer portals
- Difficulty finding specific coverage or prior authorization rules
- Higher risk of errors or missed policy updates
- Delays in care and increased administrative workload
Enter PolicyBot: A Comprehensive, Continuously Updated Policy Database
PolicyBot aggregates 100,000+ medical policies from more than 100 payers into one centralized, searchable database. For providers, this means:
- One place to find medical necessity criteria, coverage rules, and prior auth requirements
- Up-to-date policies sourced directly from insurers
- Access to complete policy information without leaving your workflow
The Solution: AI-Powered Policy Lookup, Built Right Into Calvient
Thanks to this new partnership, Calvient now offers AI-powered medical policy retrieval within the platform. Simply ask a question in plain language and the AI assistant retrieves the relevant payer policy instantly.
This eliminates manual website searches and digging through large PDF documents all while switching between multiple systems. No more delays caused by missing or outdated information.
Pairing Policybot's database with Calvient's AI allows added context on medical policies to be incorporated into workflows and automations making our platform more powerful than ever.
Empowering Providers With Instant Policy Insights
This partnership reflects Calvient’s commitment to accelerating the prior authorization process by consistently expanding on our current capabilities. With instant access to payer policies — powered by PolicyBot’s comprehensive database and Calvient’s intelligent workflow platform — providers can make informed decisions faster and support patient care without administrative obstacles.
Try it out in your workflow today: just ask the AI assistant for any payer policy, and experience how easy policy lookup can be. It's as simple as typing "Prolia for BCBS Texas" or "Aetna Mohs Surgery," and you get the most up to date payer document. Easy, quick, and most importantly, reliable.
If you're curious what else is new at Calvient, check out our latest webinar with all of our latest updates.