Patient access at scale. Without the spreadsheets.

Appeal Infrastructure for Patient Access Teams

Deploy denial-specific AI and landing pages for your drugs and conditions. Control the clinical evidence. Add human review when you need it. Built for hub teams, market access, and specialty pharmacies.

AI And Landing Pages You Empower

Create branded, condition-specific AI and landing pages that guide patients through the appeal process with the right evidence and messaging for each denial type.

Drug-Specific Pages

Deploy AI and landing pages for specific medications. A SKYRIZI hub team can create a denial-specific page with approved clinical evidence and payer policy references.

  • ✓ SKYRIZI, Humira, specialty biologics
  • ✓ Pre-populated clinical evidence
  • ✓ Payer-specific policy arguments
Condition-Specific Pages

Customized AI and landing pages organized by condition help patients feel confident and effectively appeal denials.

  • ✓ Hormone therapy, rare disease
  • ✓ Mental health, chronic conditions
  • ✓ Procedure-based denials
DME & Device Pages

Durable medical equipment denials have specific documentation requirements. Device-specific pages ensure patients include the right clinical justification.

  • ✓ CPAP, wheelchairs, CGMs
  • ✓ Medical necessity documentation
  • ✓ Prior auth requirements

Evidence You Control

Your team decides what clinical evidence, citations, and arguments go into the context for each landing page.

Peer-reviewed studies and citations — Include specific PubMed references, clinical guidelines, and trial data that support medical necessity.

Payer-specific policy arguments — Reference the payer's own coverage criteria and explain how the patient meets their requirements.

Internal clinical evidence — Upload your organization's approved clinical messaging and real-world evidence.

Branded clinical messaging — Consistent voice and approved language across all patient-facing appeal content.

Workflow Integration

Human review is optional. Choose the workflow that fits your compliance requirements and team capacity.

Fully Automated

Patient self-serve. Appeals generated and delivered without manual intervention. Your team monitors outcomes.

Human Reviewed

Appeals flagged for review before delivery. Your specialists approve, edit, or escalate as needed.

Co-Authored

Patient starts the appeal with AI assistance. Your specialist finishes and adds clinical context.

Approval Gates

All appeals require explicit approval before delivery. Full control for high-stakes contexts.

How Teams Can Use This

Pharmaceutical Hub Team

A hub team deploys a denial-specific landing page for patients who receive "step therapy required" denials. Pre-populate evidence such as:

  • Approved clinical evidence for IL-23 inhibitors
  • Common payer policy references for step therapy exceptions
  • Guidance on documenting prior treatment failures

Hub specialists review flagged appeals and add patient-specific clinical context before the appeal is finalized.

Built for Compliance

Enterprise patient access requires audit trails, transparency, and data controls. We built these in from the start.

Ready to streamline patient access?

We augment your patient access team with AI-powered appeal and prior authorization tools. Let's talk about how this fits your workflow.

Or explore a sample biologic denial landing page to see how patients can experience a customized appeal process.