A Case Study in DME Innovation
This collaboration is ongoing, hence anonymized company information.

01
Company Background
A fast-growing medical device company specializing in high-cost durable medical equipment (DME) was facing increasing pressure on its patient access operations. The company manufactures a cutting-edge device and works closely with physicians and payers to secure insurance approvals for the product. The company’s patient access team, made up of four dedicated team members, was manually reviewing patient cases to determine eligibility and write customized prior authorizations and appeals for submission to payers.
02
The Challenge
As demand for the product increased, more patient access team resources were required. Scaling headcount quickly wasn't optimal, and training on such a complex process was a challenge. Any delays risked impeding both patient access and revenue growth. As a result, the company needed a solution that could help the existing team operate more efficiently while maintaining (and hopefully improving) reliability.

03
Why They Chose Paxos
Paxos offered an AI-powered software platform purpose-built for patient access teams. 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. The collaboration focused on two key workflows: evaluating each patient’s case to determine if sufficient information was available to support an insurance approval, and then generating customized prior authorization and appeal documents.
How Paxos Helped
Paxos built and deployed a custom software solution integrated with the company’s existing CRM. The below figure provides a high level overview of the workflow that Paxos’ custom software automated:



- The tool was developed with the company’s patient access team to increase the team’s productivity and reliability.
- The software’s accurate and automated process can empower the company’s patient access team to move faster and with higher confidence. This reduces the need to scale the team as case volume grows. Work is ongoing, but initial results have validated the power of AI to transform how patient access is managed.