Win Medical Policy
Coverage Faster
Coverage Connextion centralizes market access processes, medical policy coverage, research, reimbursement strategy, and payor engagement in one platform.
Our AI-powered platform is built for diagnostic market access teams by market access leaders.
Capabilities
Everything Needed to
Drive Coverage Decisions
Integrated capabilities that give market access teams the intelligence, tools, and workflows to actively drive medical policy coverage.
Coverage and Coding Intelligence
Receive medical policy updates automatically across payors and lines of business including commercial and CMS / MolDX accounts. Receive updates on the development of new AMA and CMS billing codes.
Payor Relationship Management
Maintain a complete record of payor contacts, engagement history, contracts, and relevant activity across every account.
Research Tools
Access market intelligence, clinical evidence, medical policies, coding information, and reimbursement resources in one place.
Submission Tracking
Manage commercial and CMS / MolDX Health Technology Assessment and AMA coding submissions from initiation through final decision with full audit history.
Leadership Reporting
Track department performance, coverage outcomes, contracting activity, and revenue impact from a single dashboard.
AI-Powered Insights
Identify evidence patterns, coverage opportunities, and decision-driving factors through proprietary algorithms.
The Problem
Market Access Still Runs on Spreadsheets
Disconnected tools, scattered research, email chains, and manual tracking make it difficult to manage coverage strategy and maintain visibility across accounts.
Fragmented Information
Coverage data, payor contacts, policy research, and submission history live in separate tools with no shared view across the team.
Manual Research
Teams spend hours tracking down LCD updates, CPT decisions, and clinical evidence that should already be organized and accessible.
Limited Visibility
Leaders have no real-time view of account progress, coverage outcomes, or team activity — making it difficult to direct strategy or report results.
The Solution
One Platform. Complete Visibility.
Develop and execute robust market access strategies, organize and directly submit Health Technology Assessment applications to select payors, track the status of commercial / CMS / MolDX accounts, track payor engagement, and generate reports from a single source of truth.
Workflow
The Full Coverage Lifecycle. Managed.
Coverage Connextion connects every stage of the coverage process into one operational workflow — so nothing falls through the gaps.
Research
Landscape analysis, Medical Policy Coverage, Coding, & Reimbursement
Strategy
Account Planning, Evidence & KOL Development
Engagement
Stakeholder outreach, HTA & AMA CPT Code Submissions
Monitoring
Ongoing tracking of coverage decisions and medical policy changes
Identify coverage opportunities through evidence, policy analysis, and reimbursement intelligence.
01 / 04 — Research
Assign priorities, align resources, and build a coordinated market access plan.
02 / 04 — Strategy
Manage payor relationships, KOL outreach, HTA submissions, coding applications, and coverage decisions — all within a single engagement workflow.
03 / 04 — Engagement
Stay informed with policy updates, coding changes, and ongoing account activity.
04 / 04 — Monitoring
Research
Strategy
Engagement
Monitoring
Built for Teams
Built for the Whole Team
From department leadership to field teams, Coverage Connextion provides the visibility and tools each role needs — without managing multiple systems.
Command center for
market access leadership.
See where coverage stands, what the team is working on, and how strategy is progressing — without chasing updates across email and spreadsheets.
- Real-time coverage status across all accounts and payors
- KPI dashboards for strategy, submissions, and outcomes
- Full submission pipeline visibility from open to closed
- Reporting on department performance and revenue impact
Every tool needed
to drive coverage.
Manage accounts, access research, track submissions, and stay current on policy changes — all from a single platform designed for how market access teams actually work.
- Centralized account records with full engagement history
- Integrated research, policy, and coding data in one place
- Automated alerts for policy updates and coverage changes
- Submission workflows with clear ownership and status tracking
Stop Managing Market Access
Across Multiple Systems
Coverage Connextion helps diagnostic market access teams organize, monitor, and drive medical policy coverage from one platform.