Denials are expensive. Most are avoidable. AffirmDME is an AI workspace for Medicare DME prior authorization. It reads your documentation — chart notes, orders, test results — builds a per-item checklist of what Medicare requires, and flags what's missing before you submit. If an ADR (Additional Documentation Request) comes back, it drafts your response from the underlying record. You review and approve every packet. AffirmDME does the reading, checking, and chasing. What it does: • AI document extraction — no manual re-keying • Per-item readiness checklist scored against Medicare DME rules • Missing-doc detection before submission, not after a denial • Prescriber outreach by fax, with tracked responses • Standard Written Order (SWO) e-signature via DocuSign • ADR response drafting • Affirmation-rate and exemption tracking (CMS 90% compliance threshold) • Multi-location support with per-location PTAN/NPI The economics: reworking one rejected claim costs about $118. A case on AffirmDME is $75 — no subscription, free to sign up, and you can move to a per-location plan when your volume warrants it. Built for PHI from day one: HIPAA-eligible AWS infrastructure, BAA available, encryption in transit and at rest, full audit log. Document AI runs inside AWS (Amazon Bedrock) — your data isn't used to train models. Built for suppliers working with the DME MACs (Noridian and CGS). Sign up free at affirmdme.com. Questions? hello@affirmdme.com