Most denials are preparation failures, not clinical failures
We interviewed biologic coordinators, PA specialists, pharmacy access managers, and payer-side experts. The same conclusion kept surfacing: the cases that get denied were rarely wrong on the medicine — they were incomplete on the paperwork. Paveo fixes preparation before submission.
What we found
The denials rhyme
Across payers and drugs, denials cluster around a handful of avoidable gaps — which means they can be caught before a case is ever submitted.
- Most denials are predictable.
- They come from missing documentation, missing labs or imaging, and missing prior-therapy evidence.
- From incorrect diagnosis coding and unmet step-therapy requirements.
- From a lack of payer-specific knowledge that takes new coordinators months to build.
Positioning
The intelligence layer before submission
We're deliberately not trying to be everything. We're trying to be the best at one thing: knowing what's required before you submit.
What we're not
- Another prior authorization portal
- A workflow management system
- A generic healthcare AI assistant
What we are
- The intelligence layer before submission
- 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.
Workflow guidance
Guide the whole case, not just the check.
Therapy start tracking
Measure and shorten time-to-therapy.
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.