Coverage
Thirty-four payer and UM targets out of the box.
Commercial, Blues, regional, government, and delegated utilization-management workflows covering the majority of US insured lives. Coverage starts with high-volume policy sources, then gets sharper as your team logs payer responses and denial patterns.
National commercial
- UnitedHealthcare
- Aetna / CVS Health
- Cigna Healthcare
- Elevance Health / Anthem
- Blue Cross Blue Shield
- Humana
- Centene / Ambetter
- Molina Healthcare
- Kaiser Permanente
- Oscar Health
Blues and regional
- Blue Shield of California
- Florida Blue
- Highmark Blue Cross Blue Shield
- CareFirst BlueCross BlueShield
- Premera Blue Cross
- Regence BlueCross BlueShield
- Independence Blue Cross
- HealthPartners
- Geisinger Health Plan
- Priority Health
Government
- Medicare (CMS)
- Medicare Advantage
- Medicaid
- State Medicaid MCOs
- TRICARE
- CHAMPVA
- Veterans Health Administration
- Indian Health Service
Delegated UM
- Cohere Health
- eviCore healthcare
- Carelon Medical Benefits Management
- HealthHelp
- Optum
- NIA / Evolent
Best initial fit: specialty clinics handling high-denial imaging, specialty medication, oncology, orthopedics, DME, or other documentation-heavy authorization workflows. CanyonRift uses public and authorized policy evidence only; payer-specific depth improves with each approved pilot workflow.