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Turn payer policies into predictable revenue.
Your team spends hours researching payer rules manually.
We automate that intelligence.
Covering the majority of insured Americans
Struggling to understand changing payer rules?
Turn confusion into clarity, today.
Book a call. We'll show you how Penelope fits your workflow.
Struggling to understand changing payer rules?
Turn confusion into clarity, today.
Book a call. We'll show you how Penelope fits your workflow.
Covering the majority of insured Americans
Struggling to understand changing payer rules?
Turn confusion into clarity, today.
Book a call. We'll show you how Penelope fits your workflow.
FAQ
Your questions answered.
Still have questions? Book a call and we'll talk things through.
How quickly can we integrate Penelope's policy network?
You can use our web-app straight after signing up. Our API is designed for straightforward integration into existing workflows. Most organizations are querying policies within days, not weeks. We provide documentation, testing environments, and technical support throughout the process.
How do you ensure policy accuracy?
You can automate policy retrieval using the Penelope Health API. It takes in payer, plan and (optionally) state, and returns the policy link and structured JSON for CPT and ICD-10 coverage rules, replacing manual portal searches. We ensure accuracy by using intelligent extraction methods that understand policy context, not just keyword matches. We understand how codes are referenced, whether they're approved, excluded or experimental.
But how do I actually use policies?
Great question! After you use our API or web-app to find policies (e.g. by payer, plan CPT code, ICD code or a 'fuzzy' text search), you can use our policies for a few pretty important things. - Checking code coverage - Checking medical necessity criteria - Auto-generating prior auth requests and appeal letters
Why don't I just Google the policies?
You definitely can! In fact, that's what most of our clients were doing before they used Penelope. But once you do this, you'll probably start facing some challenges. - There are a lot of payers, like, a lot (trust us, we know). - Their policies aren't always the easiest to find (we've scoured enough arcane web portals for a lifetime). - They can randomly update on a Wednesday, and completely change code coverage. - And then, once you find them, you're faced with a 50-page quasi-legal text, with some of the most important info being hidden away in footnotes and appendices. You can't integrate the info into your current workflows - be it to create dynamically updating coding rules, or to automatically generate appeal letters. So yes, you can Google things. But maybe give Penelope a try when you're ready to turbocharge your workflows.
How much does it cost?
Pricing depends on your needs, claims volume and scope. After our free assessment, we'll provide a clear proposal with transparent pricing and no hidden fees.
FAQ
Your questions answered.
Still have questions? Book a call and we'll talk things through.
How quickly can we integrate Penelope's policy network?
You can use our web-app straight after signing up. Our API is designed for straightforward integration into existing workflows. Most organizations are querying policies within days, not weeks. We provide documentation, testing environments, and technical support throughout the process.
How do you ensure policy accuracy?
You can automate policy retrieval using the Penelope Health API. It takes in payer, plan and (optionally) state, and returns the policy link and structured JSON for CPT and ICD-10 coverage rules, replacing manual portal searches. We ensure accuracy by using intelligent extraction methods that understand policy context, not just keyword matches. We understand how codes are referenced, whether they're approved, excluded or experimental.
But how do I actually use policies?
Great question! After you use our API or web-app to find policies (e.g. by payer, plan CPT code, ICD code or a 'fuzzy' text search), you can use our policies for a few pretty important things. - Checking code coverage - Checking medical necessity criteria - Auto-generating prior auth requests and appeal letters
Why don't I just Google the policies?
You definitely can! In fact, that's what most of our clients were doing before they used Penelope. But once you do this, you'll probably start facing some challenges. - There are a lot of payers, like, a lot (trust us, we know). - Their policies aren't always the easiest to find (we've scoured enough arcane web portals for a lifetime). - They can randomly update on a Wednesday, and completely change code coverage. - And then, once you find them, you're faced with a 50-page quasi-legal text, with some of the most important info being hidden away in footnotes and appendices. You can't integrate the info into your current workflows - be it to create dynamically updating coding rules, or to automatically generate appeal letters. So yes, you can Google things. But maybe give Penelope a try when you're ready to turbocharge your workflows.
How much does it cost?
Pricing depends on your needs, claims volume and scope. After our free assessment, we'll provide a clear proposal with transparent pricing and no hidden fees.
FAQ
Your questions answered.
Still have questions? Book a call and we'll talk things through.
How quickly can we integrate Penelope's policy network?
You can use our web-app straight after signing up. Our API is designed for straightforward integration into existing workflows. Most organizations are querying policies within days, not weeks. We provide documentation, testing environments, and technical support throughout the process.
How do you ensure policy accuracy?
You can automate policy retrieval using the Penelope Health API. It takes in payer, plan and (optionally) state, and returns the policy link and structured JSON for CPT and ICD-10 coverage rules, replacing manual portal searches. We ensure accuracy by using intelligent extraction methods that understand policy context, not just keyword matches. We understand how codes are referenced, whether they're approved, excluded or experimental.
But how do I actually use policies?
Great question! After you use our API or web-app to find policies (e.g. by payer, plan CPT code, ICD code or a 'fuzzy' text search), you can use our policies for a few pretty important things. - Checking code coverage - Checking medical necessity criteria - Auto-generating prior auth requests and appeal letters
Why don't I just Google the policies?
You definitely can! In fact, that's what most of our clients were doing before they used Penelope. But once you do this, you'll probably start facing some challenges. - There are a lot of payers, like, a lot (trust us, we know). - Their policies aren't always the easiest to find (we've scoured enough arcane web portals for a lifetime). - They can randomly update on a Wednesday, and completely change code coverage. - And then, once you find them, you're faced with a 50-page quasi-legal text, with some of the most important info being hidden away in footnotes and appendices. You can't integrate the info into your current workflows - be it to create dynamically updating coding rules, or to automatically generate appeal letters. So yes, you can Google things. But maybe give Penelope a try when you're ready to turbocharge your workflows.
How much does it cost?
Pricing depends on your needs, claims volume and scope. After our free assessment, we'll provide a clear proposal with transparent pricing and no hidden fees.
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