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AffirmDME

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AffirmDME is an AI workspace for Medicare DME prior authorization, built for DMEPOS suppliers working with the DME MACs (Noridian and CGS). It reads your documentation, builds a per-item checklist of what Medicare requires, and flags what is missing before you submit. If an ADR (Additional Documentation Request) comes back, it drafts your response from the record. You review and approve every packet. What it does: AI document extraction; readiness checklist with LCD/CFR citations; missing-document detection; prescriber outreach by fax; Standard Written Order (SWO) e-signature via DocuSign; submission packet; ADR response drafting; affirmation-rate and exemption tracking (CMS 90% threshold); multi-location support. Pricing: $75 per case pay-as-you-go, no subscription. Per-location plans from $1,500/month. Free sandbox mode with synthetic data, no card required. HIPAA-eligible AWS services, BAA available, document AI runs in Amazon Bedrock, data is not used to train models.

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