PayorTransparency

One product, three loops. One of them is built.

Benchmark is running today, for nine continence HCPCS codes across six national payers, read every month from the files those payers publish under the Transparency in Coverage rule.

The other two are not built yet. Where a loop below is written in the future tense, that is because it is future work, and the chip on the section says the same thing.

Benchmark

LIVE

Six national payers publish machine-readable files under the Transparency in Coverage rule. We read those files every month for the nine continence codes and set what we find against the Medicare DMEPOS allowable for the same code in the same geography.

The benchmark is the comparison, not a single figure. Each payer files its own geographies in its own index, and the Medicare allowable varies by jurisdiction, so a commercial rate only means something next to the allowable that applies in the same place.

Monitor

EARLY ACCESS

Not built yet. The intent is a watch on the nine codes themselves rather than on the whole HCPCS set, so that a code split, an LCD revision or a quarterly fee-schedule update arrives as a dated entry about a code you actually bill.

The January 2026 hydrophilic split is the case that shaped the idea. It created three new codes, and A4297 and A4353 still share one 200-unit monthly ceiling that did not double when the split created a second kit code. Nothing in a fee-schedule file announces that.

Research

EARLY ACCESS

Not built yet either. The intent is that you bring your own bulletins and documents, a payer notice, a MAC article, a policy PDF somebody sent you, and query them alongside the rate data we already hold for the nine codes.

It exists as an idea because one real question is usually answered across four sites in three formats, and none of them agree on where the answer lives. One place to ask, with the source of every answer named, is the design goal rather than a shipped feature.