Case Studies

We work with MedTech, DME, and lab diagnostics companies — and a broader range of healthcare teams — to streamline insurance workflows and scale access operations.

Because we configure our platform to each client’s needs, the use case and results vary by team, product, and patient journey

Automated a patient access team’s reimbursement workflow

Won cases for patients undergoing innovative sleep apnea surgery

Built a medtech company’s patient access program from scratch

Won $2.5M in total patient coverage

>90% overturn rate

99.3% accuracy

Cooler Heads
Empowering Patients and Accelerating Coverage

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

EASE Case Study

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.

DME Product
Scaling Patient Access with AI

A fast-growing medical device company specializing in high-cost durable medical equipment (DME) was facing increasing pressure on its patient access operations. Because Paxos’ product was uniquely customizable, Paxos and the patient access team co-developed a solution with a clear performance benchmark: reducing case review and writing time by at least 50%, without sacrificing accuracy.

Direct to Patient

Empowering patients to overturn insurance denials through personalized appeal advocacy. Paxos provided hands-on reimbursement expertise and custom-built appeals directly to patients, securing $2.5M+ in coverage with a 90%+ success rate across medical specialties.

"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
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