Patient Access, Powered by AI

Empowering patient access teams in medtech, DME, and beyond to 3x their productivity and increase approval rates. Our tool can be used by patient access teams, providers, or patients.

We customize our AI to your specific workflow.

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Christopher
Implantable Neurostimulator
Michael
Portable Dialysis Treatment Unit
Jennifer
Scalp Cooling System
Amanda
Automated Insulin Delivery Pump
Matthew
Robotic Prosthetic Arm
Christopher
Implantable Neurostimulator
Michael
Portable Dialysis Treatment Unit
Jennifer
Scalp Cooling System
Amanda
Automated Insulin Delivery Pump
Matthew
Robotic Prosthetic Arm

Experience With All Major US Payers

Beyond basic form-filling, our AI distills exhaustive patient data into robust arguments that resonate with payers, even when no positive policy exists.
We cross-reference every line of hundreds of pages per case: patient charts, payer policies, clinical guidelines, medical literature, and more.
We customize our tools to your workflow and offer a no-risk evaluation period.

Our Solution

Synthesizes medical information with AI to generate prior auths, appeals, and other patient-specific documents
Transforms your team into case reviewers rather than writers by enabling AI-assisted double-checking of all outputs
Integrates payer-specific policies, diagnosis-specific guidelines, clinical literature, and product evidence
Delivers up-to-date reimbursement trend data for your device to support payer negotiations and provider sales

How We Help

We focus on complex reimbursement workflows, such as when the documentation burden is high, there are negative or silent payer policies, a product is new-to-market, etc. 

Beyond basic form-filling, our AI distills exhaustive patient data into robust arguments that resonate with payers, even when no positive policy exists.

01

Reduced operations costs

We streamline reimbursement workflows and empower your case writers to become case reviewers who can focus their expertise on the things that matter, not cumbersome documentation tasks.

Increased product adoption

We aim to drive higher payer approvals and broader coverage, building provider confidence to utilize your innovative technology.

02

03

Enhanced reimbursement insights

Our data equips patient access teams to better navigate payer negotiations and improve their provider sales process.

Reduced operations costs
Your workforce becomes reviewers of AI-generated documents and AI-placed calls to payers, rather than writers and callers themselves.
Improved reliability
Our AI reads every line of every document and flags missing information, mitigating human fatigue and error. Higher accuracy can increase speed-to-approval and even increase payer approval rates.
Higher customer confidence
Improved reliability, faster turnaround times, and potentially improved payer outcomes.
‍
This means increased provider and patient confidence in reimbursement.

Testimonials

Paxos' expertise and tailored reimbursement tools are streamlining our ability to get devices to patients, producing reliable and policy-focused documents without requiring us to hire additional staff. Their offering is also increasing utilization of our product with payers, which will help with achieving broader payer coverage.

How It Works

We customize our tool to your exact workflow. Book a demo to learn more about how we can improve your reimbursement processes. 

01

Gathering Documentation

We build a lightweight integration to your CRM / case management tool to pull in patient documents automatically, or patients, providers, and patient access teams can upload documents directly. We then use AI to split and label each document. We also pull in updated payer policies and can run benefits verification.

02

Case Assessment

Our AI reviews the full patient file line-for-line against the exact payer policy, clinical guidelines, and product evidence in minutes, and flags missing documentation to prevent sending an incomplete submission. If a policy doesn’t exist yet, the AI can still generate a robust justification based on available clinical evidence and guidelines.

03

Extracted Data Analysis

Reviewers can easily verify any component of the case by clicking the citation, which displays the source document with highlighted references alongside the analysis.

04

Customized Justification Letter

The platform generates fully cited prior auths, appeals, and determination documents that incorporate payer language and map every statement to the criterion it satisfies, including policies and guidelines.

05

Follow-up calls to payers

After submission (whether by the provider, patient, or your team), we use Voice AI technology to directly call payers just like a human rep would. We can follow-up on a case’s status, advocate for additional reviews, etc.

06

Intelligence and Audit Trail

Real-time analytics expose pass/fail drivers and ROI metrics, while one-click exports deliver a policy-traceable, audit-ready packet for payers, regulators, or internal QA.

Case Studies

All case studies

01

Reduced operations costs

We streamline reimbursement workflows and empower your case writers to become case reviewers who can focus their expertise on the things that matter, not cumbersome documentation tasks.

Increased product adoption

We aim to drive higher payer approvals and broader coverage, building provider confidence to utilize your innovative technology.

02

03

Enhanced reimbursement insights

Our data equips patient access teams to better navigate payer negotiations and improve their provider sales process.

Cooler Heads

With a CPT Category III code and an anticipated transition to a permanent Category I code in 2026, we built this company's reimbursement and patient access infrastructure from the ground up.

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EASE Sleep Apnea Surgery

Streamlining payer approvals for Sleep Apnea Surgery Center's EASE procedure, an innovative minimally invasive procedure that payers frequently denied as "experimental." Paxos developed a comprehensive patient advocacy program with customized appeals and network gap solutions to secure coverage approvals and reduce administrative burden on the practice.

Learn more
99.3%
Accuracy-rate of extracted values*

We support many major CRMs

and more

Want to see how our product can fit your needs?

Book a demo
"Paxos' expertise and tailored reimbursement tools are streamlining our ability to get devices to patients, producing reliable and policy-focused documents without requiring us to hire additional staff. Their offering is also increasing utilization of our product with payers, which will help with achieving broader payer coverage."
Kate Dilligan
Founder and CEO of Cooler Heads

See Our Product

Want to improve your company’s reimbursement processes? Book a demo today.

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* Refers to values extracted from source documentation. Based on internal testing comparing to human ground truth. Further information available upon request.