Where access, affordability,and fulfillment work as one.
At a glance
-
92%+ first-pass PA approval rate across programs
-
98% PA approval rate maintained at scale
-
85%+ success rate on first pass appeals
-
225+ Payor Policy Wins
-
95% referral-to-fill conversion rate
One partner for every stage of your patient journey
PRO’s flexible support model serves as a standalone program or as a force multiplier for your existing teams, unifying interrelated access functions and collating partner activity in a governed, secure framework
Intake and Enrollment
Patient and HCP intake; consent and clinical documentation; referral capture via portal, eRX, phone, fax, and secure email
Benefit Investigation
Determine the applicable benefit; coverage requirements; payor and plan mapping; site of care considerations
Access Resolution
Complete authorization cases; clinician-led denial review; appeals at all applicable levels; alternate access pathways
Affordabiity
Copay and PAP screening and enrollment; travel and lodging eligibility; alternative funding search; claim adjudication
Fulfillment
Treatment scheduling and coordination; ordering and logistics; product assurance assistance; specialty pharmacy routing
Ongoing Support
Adherence and education; FRM and nurse navigator collaboration; renewals and reauthorizations; case status
Success by Any Measure
Trusted by partners spanning industries and specialties.
Success Stories
Clinical Navigators Help Infusion Start Completion Triple
How dedicated PRO-spectus clinical navigators raised infusion starts from 20% to over 70% of patients and lifted adherence from 10% to a steady 86%.
Read Now
Success Stories
Virtual FRM Support Helps a New Drug Launch Reach Profitability Within Two Quarters
How PRO-spectus virtual field reimbursement managers supported a phased launch across HOPD, inpatient, ASC, and provider group settings to reach profitability.
Read Now
Success Stories
Virtual FRM Support Reduces Open A/R Cases 42% in the Buy-and-Bill Channel
How PRO-spectus virtual field reimbursement managers educated HOPD and ASC sites in the buy and bill channel, cutting open A/R cases 42% in two years.
Read Now
Success Stories
Hospital Outpatient and ASC Access Helps Drive 400% Volume Growth
How PRO-spectus education helped a physician-office product expand into hospital outpatient departments and ASCs, driving 400% total volume growth.
Read Now
Success Stories
A Zero Coverage Launch Reaches 95% of Commercial Lives Within Four Years
A manufacturer launched with no payor coverage. See how PRO-spectus payor case management reached 95% of commercial lives and 42 Medicaid states.
Read Now
Success Stories
Buy and Bill Volume Grows 254% in Two Years With Access Support
How PRO-spectus access teams aligned coding, coverage, and payment for a new buy and bill channel, growing volume 190% in Year 3 and 254% in Year 4.
Read Now
Success Stories
Cross-Functional Case Management Supports a 100% Approval Rate in an Oncology Launch
How PRO-spectus case management and independent medical review on every denial supported a 100% approval rate in a high-cost oncology launch.
Read Now
Patient Access, Built Around Every Patient and Every Case
What does PRO-spectus do?
PRO-spectus provides fully integrated patient access solutions for manufacturers, from intake and benefit investigation through authorization, affordability, fulfillment, and ongoing patient support.
Which manufacturers do you serve?
We serve drug, device, diagnostic, digital therapeutic, and cell and gene therapy manufacturers.
Can PRO work alongside our existing team?
Yes. PRO can run as a standalone program or add capacity to your existing teams, with partner activity collated in one governed, secure framework.
How do you handle denials and appeals?
Clinicians lead the denial review, and appeals move through every applicable level. Alternate access pathways are explored along the way. Our teams achieve a first-pass appeal success rate above 85% and have secured 225+ payor medical policy wins.
What affordability support do you offer?
We provide copay and PAP screening and enrollment, travel and lodging eligibility, alternative funding search, and claim adjudication.
How will we see program performance?
Client data access, portals, APIs, dashboards, and reporting give your team visibility into case and fulfillment status.
How quickly do you respond?
Calls are answered in under 20 seconds, and outreach happens the same day.