Browse the knowledge that drives healthcare billing. Free. Open. Updated continuously.The Knowledge Network is RCI’s public directory of healthcare billing rules. Like a phone book for payer requirements — searchable by payer, state, facility type, or rule category. Browse it at rcintell.com/network
What’s in the Knowledge Network
Payer Rules Directory
Every payer has different rules. The Knowledge Network makes them searchable.
Filter by:
- Payer name or alias (Cigna, UHC, BCBS, etc.)
- State (payer rules vary by state, especially Medicaid)
- Rule category (timely filing, prior auth, appeals, COB)
- Coverage type (medical, dental, behavioral health)
Facility Type Catalog
Every facility type has different billing requirements:GPCI Values by Area
Geographic Practice Cost Indices change how much Medicare pays. Searchable by state, city, or CBSA.MAC Jurisdictions
Which Medicare Administrative Contractor processes claims for each state.Appeal Processes
Side-by-side comparison of appeal levels, deadlines, and required documentation across payers.Rule Change Feed
Payer rules change constantly. The Knowledge Network tracks and surfaces these changes:- CMS fee schedule updates — annual conversion factor, RVU changes
- Payer policy changes — timely filing limit changes, new prior auth requirements
- State Medicaid updates — program changes, rate updates
- Coding updates — new CPT/HCPCS codes, deleted codes, revised descriptions
- NCCI edit changes — new bundling rules, MUE updates