Streamlined Patient Access, Powered by AI

Empowering patient access teams in medtech, DME, and beyond to 3x their productivity and increase success rates.

Use AI to gauge case readiness and craft tailored reimbursement documents in minutes, not hours.

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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.

How We Help

We don’t just fill in forms; we transform raw records into policy-aligned evidence packets that win over payers. When policies are absent for newer technologies, our AI unearths and frames the evidence payers still demand, turning “investigational” denials into approvals.

Reduced operations costs

Our AI reads every line of every patient document, matching it line-by-line to the exact payer policy and relevant guidelines, and generating tailored justifications for submission.
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Case writers become case reviewers with 3x output.

Improved reliability

Our AI flags missing information or policy criteria gaps automatically, so each submission is rock-solid and audit-ready.
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This could increase payer approval rates.

Higher customer confidence

Improved reliability, faster turnaround times, and potentially improved payer outcomes.
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This means increased provider and patient confidence in reimbursement.

How It Works

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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.

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

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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.

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.