Catch the missing document before the payer does.
Paveo reviews a patient’s documentation against the payer’s published coverage criteria before the prior authorization is submitted — flagging missing evidence, contradictions, and exactly which criteria fail, with page citations.
The intelligence layer before submission — not another portal.
Submission Readiness
Denial risk
Moderate
2 gaps to close before submitting.
Missing documentation
- Recent TB / hepatitis screening
- Step therapy: methotrexate ≥ 3 months
Evidence found
- RA diagnosis confirmed (ICD-10 M05.79)
- Prior csDMARD therapy documented
Diagnosis & coding
Step therapy
Required labs
The cost of incomplete submissions
Most denials aren't clinical failures
They're preparation failures — and they're expensive in time, revenue, and days a patient waits to start therapy.
Denied cases
Preventable denials that were complete clinical wins — lost to a missing form or unmet criterion.
Resubmission delays
Every denial restarts the clock: rework, re-review, and another wait in the payer queue.
Manual follow-up
Hours per case spent interpreting payer policy, chasing records, and calling for status.
Therapy start delays
While paperwork loops, the patient waits — and time-to-therapy is the metric that matters.
Why prior authorizations fail
The same gaps, again and again
After interviewing biologic coordinators, PA specialists, and pharmacy access managers, the denial reasons rhyme. Paveo checks for every one.
Missing labs
Required baseline or monitoring labs absent from the packet.
Missing imaging
Imaging the policy requires to establish severity isn't attached.
Missing prior therapy evidence
Step-therapy history not documented in a payer-acceptable form.
Incorrect diagnosis coding
ICD-10 code doesn't map to the covered indication.
Step therapy not met
Required trial-and-failure sequence incomplete or undocumented.
Missing clinical documentation
Chart notes that substantiate medical necessity are absent.
How Paveo works
Six steps, before you submit
Paveo fixes preparation — so the case is complete the first time it reaches the payer.
Select drug, diagnosis & payer
Start from the exact combination you're submitting.
Upload clinical documentation
Notes, labs, imaging, and medication history.
Paveo reviews the submission
Read against that payer's policy criteria — line by line.
Identify missing requirements
Exactly what's met, what's missing, and the denial risk.
Assemble the packet
A cover sheet and a drafted letter of medical necessity — every claim traced to your notes.
Review, then submit
Your team files it. Paveo prepares; a human always signs off.
Patient Access Copilot
One workflow, from intake to approval
Payer intelligence, submission readiness, and denial recovery — three connected steps in one copilot, grounded in the same real payer policy.
Built from real access workflows
What access teams told us
Paveo is designed around the work coordinators actually do — and the parts that hurt most.
“Understanding payer requirements is the hardest part of the job.”
“Missing documentation causes denials that were entirely avoidable.”
“New hires struggle for months to learn payer criteria.”
“Staff don't have time to read every policy for every case.”
Why Paveo is different
What Paveo is — and what it isn't
We're deliberately not trying to be everything. We do one thing well: tell you what's required before you submit.
What Paveo is not
- Another prior authorization portal
- A workflow management system
- A generic healthcare AI assistant
What Paveo is
- The intelligence layer before submission — and after a denial
- A way to know exactly what's required before you submit
- Grounded in each payer's real policy criteria
- Built around how access teams actually work
Vision
The operating system for specialty medication access
Preventing denials is the wedge. The destination is the system every access team runs on.
Prevent denials
Catch preparation failures before submission — and turn a denial into a grounded appeal.
Workflow guidance
Every gap becomes a task, routed to the provider, coordinator, patient or lab.
Therapy start tracking
We measure time-to-packet and decision turnaround today. Next: time to the patient's first dose.
The operating system
For specialty medication access, end to end.
Know what's missing before you submit
Help your team reduce avoidable denials and accelerate therapy initiation.