Policy Gap Analysis Engine

External Chaos.
Internal Order.

Transform payer policy updates into actionable SOP impact analysis in minutes, not weeks. We find the semantic gaps so you can fix the truth.

Impact Detection3 CONFLICTS
Ingesting "UnitedHealth_Q4_Update.pdf"
Mapping to "SOP_Clinical_Intake_v4"
! CRITICAL CONFLICT DETECTED
Policy:"72 Hour Turnaround"
Your SOP:"48 Hour Turnaround"
20 Days
Manual Review
5 Mins
Align Speed

The Math Against Compliance Teams

Why manual redlining is mathematically impossible at scale.

50+
Payer Contracts

"We have 40 payer contracts. Each one changes 2-3 times a year. My team can't keep up. We're always behind."

3 Weeks
Per Policy Review

"I read a 50-page policy update, then manually check 15 internal documents. It's exhausting, and I still miss things."

$200K
Cost of Missed Gap

"When we miss a policy change, claims get denied. Last quarter, that cost us $200k in unrecoverable revenue."

The Solution

Align reads the policy so you don't have to.

Upload the payer policy. Upload your SOPs. In 5 minutes, Align gives you a structured report.

  • 1
    What Conflicts:Your SOP says X, policy now says Y.
  • 2
    What's Compliant:Your SOP already matches the policy.
  • 3
    What's New:Policy requires Z, you have no SOP for this.
Conflict_Detected
ANALYSIS_TIME: 142ms
External Policy Update
Payer: UnitedHealth

...regarding prior authorization for outpatient procedures. Effective Oct 1, 2024:

Approval is required for all diagnostic imaging within of admission.24 hours of admission.

Failure to obtain authorization will result in claim denial code 492.

Temporal
Conflict
Internal SOP v2.1
Ops: Intake Protocol

...standard intake workflow for non-emergency admissions.

Coordinator must submit auth request within .48 hours.
ACTION REQUIRED: UPDATE TO 24H
"External requirement is stricter (24h) than internal standard (48h). Risk of claim denial."
Two Ways to Win

React Faster. Or Shape the Policy.

Most tools only help you respond to changes. Align also helps you influence what those changes become.

Response Mode

Policy changed. What breaks? Align reads the update, compares it to your SOPs, and tells you exactly what needs to change — with citations.

  • Upload payer update PDF
  • Get semantic gap analysis in minutes
  • Export amendment recommendations
Example Trigger

"UnitedHealthcare sent a 47-page Q4 policy update."

Without Align

3 weeks of manual cross-referencing

With Align

30 minutes to review flagged conflicts

Built for Regulatory Flux

The three moments that matter most to compliance teams.

Payer Updates

Trigger: UnitedHealthcare sends a 50-page PDF update.

Value: 20 days → 1 day review cycle.

Regulatory Change

Trigger: CMS issues new transparency requirements.

Value: Comprehensive impact assessment across all SOPs.

New Contracts

Trigger: Onboarding a new payer with unique requirements.

Value: Identify gap vs. standard process instantly.

"Why not just use ChatGPT?"

We get this question a lot. Here's the honest answer.

“

I asked ChatGPT to compare our SOP to the new CMS rule. It gave me an answer.

Then the auditor asked: "Where did this finding come from? Show me the source."

I had nothing to show them.

Method 01

ChatGPT / Claude

Different answer every time. No citations. No audit trail. "Trust me, I'm an AI."

Not audit-defensible

Method 02

Ctrl+F / Keyword Search

Finds words, misses meaning. Doesn't know that "72 hours" conflicts with "24 hours."

Misses semantic conflicts

Different
Method 03

Align

Deterministic. Same answer every time. Every finding linked to source document, page, and section.

Audit-grade output

Your expertise deserves
better tools.

You know your domain. You know your regulations. You know your organization. You just need more hours in the day.

Align gives them back

30-minute demo. See Align on your actual documents.