Policy Codification Engine

Your medical policy, as logic the engine can run.

Policy in. Executable criteria out. The Policy Codification Engine turns CMS coverage policy and your own medical policies into versioned, testable CQL — the machine-readable criteria every prior-auth decision cites.

  • Imports CMS NCD/LCD and your plan medical policies — kept current as coverage changes.
  • No-code authoring: version, test and publish criteria — with a full audit trail.
  • Produces executable CQL / FHIR the UM Engine — or your own systems — can run.
  • Every decision cites the exact criterion — explainable, never a black box.
CQL · FHIR R4CMS NCD/LCD syncBring your own MCG/InterQual licence
How codification works

From coverage policy to executable criteria.

The Policy Codification Engine ingests coverage policy, turns it into criteria your team can author and test, and publishes machine-readable logic the decision engine runs — every criterion traceable back to its source policy.

Sources

Coverage policy in

CMS NCD/LCD (auto-synced) · your plan medical policies · MCG / InterQual under your own licence.

The engine

Policy Codification Engine

Import → author in CQL → test against real cases → version → publish. No-code, governed, fully audited.

Output

Executable policy library

Versioned CQL / FHIR criteria the UM Engine runs — or that you export to your own decisioning.

1

Import the policy

CMS NCD/LCD are synced and kept current; upload or connect your own plan medical policies and guideline references.

2

Codify into CQL

Turn policy text into structured, executable criteria — no-code authoring, mapped to codes (CPT/HCPCS/ICD) and the clinical facts a case must show.

3

Test against real cases

Run the criteria against sample and historical cases to confirm they behave the way your medical directors intend — before anything goes live.

4

Version & publish

Approve, version and publish. The decision engine picks up the new logic, and every determination cites the exact criterion and policy edition — audit-ready.

Why codification

Paper policy can't auto-adjudicate. Logic can.

CMS-0057 rewards straight-through decisions — but only machine-readable policy can drive them. Codification is what turns your coverage rules into decisions that are fast, consistent and defensible.

CQL executable logicFHIR R4 artifactsCMS NCD/LCD syncVersioned & testableCited on every decisionFull audit trail

What you own at the end

✓ A living library of your policies, as executable logic.

✓ Your team edits policy — no vendor ticket, no release cycle.

✓ Every criterion traceable to its source policy & edition.

✓ Current with CMS coverage as determinations change.

✓ Portable — run it in the UM Engine or your own systems.

Conceptual architecture

How the codification engine is put together.

A governed pipeline from coverage policy to executable logic — running inside your own cloud tenant.

Your cloud tenant · BYOC single-tenant · policy stays yours
1 · Policy sources
CMS NCD / LCD (auto-sync) Plan medical policies MCG / InterQual (your licence) Coding sets · CPT / HCPCS / ICD
2 · Policy Codification Engine
Importer & CMS syncIngests coverage policy; keeps NCD/LCD current.
Authoring & CQLNo-code editor that compiles to executable CQL.
Test harnessRuns criteria against sample & historical cases.
Version & publishGoverned approvals, editions and rollback.
3 · Executable policy library
Versioned CQL rules FHIR artifacts Code-to-criteria mappings every criterion traceable to source
4 · Consumers
AI-UM Care UM Engine Your existing UM systems Analytics & reporting
Cross-cutting Governance & approvals Full audit trail & editions Always-current CMS coverage RBAC / SSO

Codified once, cited everywhere — the same policy library powers the UM Engine and can be exported to your own decisioning.

Two engines, one story

Codification feeds the UM Engine.

The Policy Codification Engine makes your policy executable; the UM Engine runs it on every request and writes the decision back into your stack. Buy them together, or start with either — both deploy single-tenant in your own cloud.

Watch your own policy become logic.

Book a personalized demo — we'll codify one of your coverage policies into executable, testable criteria live.

Or email salesinfo@aiumcare.com