Atlas · pre-submission payer-rule checks
Atlas takes supported payer policy requirements and turns them into checks for use before claim submission. It flags what needs attention and shows the payer policy behind the finding, so billing and revenue cycle teams can review issues earlier.
Synthetic example using a publicly available payer policy. Nacovo is not affiliated with or endorsed by the payer.
Check categories
Atlas helps teams check supported coverage, medical necessity, prior authorization, documentation, and other payer-specific requirements before submission.
The problem
Coverage requirements, medical necessity, prior authorization, documentation rules, and other payer-specific requirements can vary across plans and change over time.
When an issue is discovered only after submission, the team is already dealing with rework, delays, or a potential denial. Atlas brings the payer-rule check earlier.
What makes Atlas different
Atlas is built around the payer requirements behind reimbursement decisions. It turns supported policy requirements into checks that can be used before submission.
When Atlas flags an issue, the supporting payer policy stays connected to the finding so the team can see why the claim needs attention.
How Atlas works
Atlas helps turn supported payer policies into checks that can be used during claim review.
Atlas applies supported checks to the available claim information and supporting evidence, then identifies what needs attention.
Important findings show the reason and supporting payer policy so the appropriate team can review the issue before submission.
Why Atlas
Atlas does not just return an unexplained warning. Important findings show what needs attention, why it matters, and the payer policy behind the flag.
If a supported check needs additional information or human judgment, Atlas can mark the issue for review rather than treating it as cleared.
If Atlas cannot complete a supported check with the available information, it should not be presented as a PASS.
See the issue that should be reviewed before submission.
Understand the payer requirement behind the finding.
Keep the supporting source connected to important findings.
Give the appropriate team a clear place to continue.
Workflow
Atlas is designed to work alongside existing EHR, coding, RCM, and clearinghouse systems rather than replace them. It adds a payer-policy check before the claim goes out.
Who it's for
Revenue Cycle & Billing
See which claims need attention and why before they leave your organization.
Revenue Integrity & Compliance
Review the reason and supporting payer policy behind important findings.
Revenue Leaders
See where reimbursement risk may be appearing and address potential issues earlier in the claim cycle.
Security
Atlas is being designed around data minimization, customer separation, reviewable findings, and human review where needed.
Atlas is designed to use only the information needed for the relevant check.
Atlas is being designed to keep customer data and configurations separated as the product moves toward production use.
Important findings can retain the supporting payer policy and relevant review context.
Issues that require additional information or judgment can be marked for review.
Product status
Atlas is currently an MVP using public payer policies and synthetic claims. It is not intended for live PHI traffic or clinical decision-making at this stage. No customer data or production outcome metrics are represented on this site.
Atlas is being built to work alongside provider and RCM workflows rather than requiring teams to replace the systems they already use.
Atlas is currently working with healthcare professionals and provider teams to refine the product. Join the waitlist to follow our progress, share feedback, or explore an early pilot.
Early access
We're speaking with medical billers, coders, RCM professionals, revenue integrity teams, provider organizations, and others who work with payer requirements every day.
Join the waitlist to follow Atlas, share your perspective, request a private demo, or explore becoming an early design or pilot partner.