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Reimbursement Consultancies

The research your clients pay for
should not take weeks to produce.

Polify gives reimbursement consultancies the coverage research infrastructure to deliver faster, more accurate, and more defensible work. Coverage landscapes, evidence gap analyses, and policy monitoring built for client engagements.

Note: Polify focuses on the medical benefit side of coverage. This includes devices and procedures covered under the medical benefit, as well as some drugs covered under the medical benefit. Polify does not monitor pharmaceutical drug coverage, step therapy edits, or formulary policy under the pharmacy benefit.

The research problem

Coverage research is the most time-intensive part of every engagement.

Before any strategy can be built, someone has to read every relevant payer policy, document the current position, and identify what has changed since the last engagement. That work is necessary, but it should not consume the majority of a consultant's time.

Payer policies change between the research phase and the deliverable.

A coverage landscape that was accurate when the research started may be out of date by the time the client presentation is ready. Polify monitors for changes throughout an engagement so the deliverable reflects current policy, not last month's.

Clients expect current, specific, and defensible answers.

A coverage summary that says "most major payers cover this procedure" is not a deliverable. Clients need to know which payers, under what criteria, with what documentation requirements, and what has changed in the last 90 days.

How it works in an engagement

From client intake to deliverable in a fraction of the time.

01

Intake from client device profile

Enter the FDA clearance number or device category. Polify pulls regulatory details automatically and maps the device to the relevant CPT and HCPCS codes.

02

Coverage landscape generated

Current policy positions across target payers, coverage criteria, MAC-level distribution, and active review cycles, assembled in minutes rather than days.

03

Evidence gap analysis

Polify identifies where the client's evidence package falls short of payer requirements. Specific gaps by payer, with citations to the policy language that creates each gap.

04

Client deliverable export

Export coverage landscape data and gap analysis in formats ready for client presentation. Monitoring continues after delivery so you can provide proactive updates.

What Polify provides for consultancies

The full research stack, built for client work.

Coverage landscape reports

Generate client-ready coverage landscape reports across commercial, Medicare, and Medicaid for any device category or procedure code set. Current policy positions, coverage criteria, and geographic distribution across MAC jurisdictions.

Policy version history

Access the full version history of payer policies going back over a decade. Show clients how coverage has evolved, when key changes occurred, and what the trajectory suggests about future policy movement.

Competitive coverage benchmarking

Compare coverage positions for a client's device against predicate devices and competitive alternatives. Identify where competitors have coverage advantages and what evidence drove those decisions.

Evidence gap analysis

Map the gap between a client's current evidence package and what payers require for coverage. Specific gaps by payer, with the evidentiary standard each payer applies to the device category.

Policy change monitoring

Set up monitoring for client device categories and receive alerts when payer policies change. Deliver proactive updates to clients without manual research cycles.

Reports Marketplace

Access pre-built coverage intelligence reports for common device categories and procedure codes. Accelerate engagement kickoffs with a research foundation that is already current.

Client types

Built for the clients reimbursement consultants serve.

Polify is designed for the coverage intelligence work that reimbursement consultants do across every client type. Whether the engagement is pre-launch coverage strategy, active denial management, or investor due diligence, the research infrastructure is the same.

Medical device manufacturers pre-launch
Manufacturers with active coverage gaps
Private equity and venture investors
Health systems evaluating new technologies
Physician groups and specialty practices
Legal and regulatory counsel

What a coverage landscape deliverable includes

Current policy position for each target payer
Coverage criteria and documentation requirements
MAC-level distribution across Medicare jurisdictions
Active review cycles and recent policy updates
Evidence gap analysis by payer
Competitive coverage benchmarking
Policy version history and change timeline

Built on more than 20 years of payer policy expertise.

Polify was built by people who understand how coverage decisions are made from inside payer organizations. The intelligence in the product reflects how coverage policy actually works.