Fight back against insurance denials. Get your treatment covered.

We assist patients with a wide range of high-cost treatments. Reach out to us, and we’ll do our best to determine how we can support your unique situation.

While provider’s offices and some insurance representatives can offer basic assistance, they often lack the time and specialized expertise needed to navigate the complexities of insurance plans in detail. At Paxos, our dedicated specialists focus exclusively on this niche, providing in-depth, personalized support and accurate, up-to-date information.

We are not lawyers and do not provide legal counsel. In many situations, lawyers are unable to take on these types of cases for various reasons. However, we specialize in writing appeals to advocate for higher reimbursement, which can often resolve the issue. These appeals are often a first step before legal action is taken. In fact, we partner with lawyers, who will often send cases our way for us to appeal first. Partnering with us does not prevent you from seeking legal counsel or pursuing legal action in the future.

While it's possible to manage insurance matters yourself, the process can be complex and time-consuming. For those who wish to take matters in their own hands, we offer free guides to help you:

• Save $30,000+ on out-of-network procedures
• Write effective appeals to overturn health insurance denials
• Regulatory Complaints Guide
• Determine if jaw surgery is covered by insurance

It varies based on the type of case, and we’ve attained 100% success with some types of cases. Working with us will give you the highest possible chances of success. If your odds of winning an appeal are low, we will tell you up-front before engaging in a working relationship with you. In these cases, many patients still want to submit an appeal because the amount of financial reimbursement that could be won is very high.

While short appeals can sometimes be successful, we write detailed, comprehensive appeals because in our experience, detailed arguments are often required to overturn denials. Additionally, financial stakes are often high, so we prefer to be comprehensive in our approach to maximize the chances of success.

Since 2021, we have specialized in writing appeals, initially starting with our own surgical cases. Over the years, we have assisted hundreds of patients, securing over $1 million in additional coverage. We've collaborated with more than 40 insurance experts to ensure our appeals and advocacy strategies are highly effective. For more information, please visit the "About Us" section.”

Patients directly submit the appeal letter and manage direct communication with the insurer. Our experience shows that insurers are more likely to overturn appeals when submitted directly by the patient. However, we provide guidance on how to effectively handle this process.

We aim to provide a draft within two weeks of receiving all necessary documentation. We offer two rounds of revisions to ensure your complete satisfaction. If you have urgent deadlines, we can often accommodate them; however, a rush fee may apply.