Reimbursement Infrastructure

Make insurance outcomes predictable

Caduce turns FDA clearance into insurability. We standardize payer-specific documentation and learn from real denial outcomes—so your devices reach patients faster.

~30%of prior auths denied due to documentation errors*
$252,000average cost per thousand denied claims*
45 daysavg. time to payment for novel devices*

*Industry estimates

The Challenge

FDA approval is just the beginning

Getting covered by insurance is where most medical devices stall. The paperwork is fragmented, insurer requirements vary wildly, and every denial costs time and money.

01

Unpredictable coverage outcomes

Each payer has different documentation requirements. What works for one insurer gets rejected by another.

02

Manual, error-prone workflows

Teams copy-paste medical necessity letters and hope for the best. Mistakes lead to automatic denials.

03

No feedback loop

When claims get denied, the reasons are fragmented. Companies can't learn what actually works.

How Caduce Works

Reimbursement intelligence that learns

Payer-specific documentation

Generate prior authorization packets tailored to each insurer's review criteria. No more generic templates that get rejected.

Document Generator
PayerAetna
DeviceCardioMonitor Pro
IndicationRemote cardiac monitoring
Generate Documentation →

Policy logic mapping

See what each payer is likely to reject before you submit. Flag coverage risks and exclusion criteria upfront.

Coverage Analysis
Medical necessity criteriaMet
Prior auth requiredYes
Clinical trial exclusionReview

Outcome tracking & learning

Every approval and denial feeds back into the system. See patterns across payers and continuously improve your success rate.

Outcome Dashboard
Approval rate78% → 89%*
Avg. time to decision12 days*
Claims processed1,247*

Ready to make reimbursement predictable?

Join medical device companies building smarter coverage workflows.