Computable policy that powers real-time decisions.
MG Digitizer turns medical policies and guidelines into structured, versioned logic that powers automation, provider transparency and interoperable prior authorization.
The problem
Most medical policies still live in PDFs and web pages that people can read but systems can't act on. As a result, the same policy is interpreted differently by different reviewers. Provider-facing information drifts out of sync with the criteria used in review. Every update becomes a manual project.
CMS-0057-F raises the stakes, because Documentation Templates and Rules (DTR) workflows depend on policy content that machines can understand and unlocks additional automation opportunities.
The ZeOmega approach
MG Digitizer pairs AI-assisted conversion with clinical oversight. Policies are broken into their core components and translated into precise decision logic. Your clinical team validates every rule before it goes live.
Everything it takes to make policy computable.
AI-assisted conversion
Ingests policy documents and drafts structured criteria for clinical validation before publishing.
Component mapping
Captures procedure and diagnosis codes, effective dates, line of business, state and clinical indications for each policy.
Visual rule builder
Clinical and policy teams build and edit nested logic, such as “all of,” “any of” and “at least two of,” without writing code.
Governance built in
Role-based permissions, approval workflows, version history and a complete audit trail.
Right version, every time
The correct policy is applied automatically by effective date, code and line of business.
Standards-ready outputs
Publishes digitized policies in formats that support DTR and FHIR-based prior authorization.
One source, many uses
A single digitized policy feeds Optimizer, MG Assist, the Jiva Provider Portal and appeals.
Digitize once. Use it everywhere.
The same validated policy drives real-time decisions, reviewer guidance, what providers see in the portal and how appeals are handled, so every channel tells the same story.
A repeatable cycle, not a one-time project.
- 01
Assess
Clinical and technical experts review how your plan structures its policies.
- 02
Digitize
Each policy is broken down into codes, dates, coverage rules and clinical criteria.
- 03
Validate
Clinicians review the logic and test it against real cases.
- 04
Publish
Approved policies flow to decisioning, review and provider-facing tools.
- 05
Maintain
Updates are versioned, reviewed and redeployed without starting over.
Defensible decisions, faster updates.
See your policies come to life.
Bring a policy. We'll show you what it looks like digitized.