PAP replacement should be one of the most predictable processes in sleep medicine. Coverage intervals are defined. Clinical criteria are clear. Patients already exist in the system.
Yet for many Durable Medical Equipment providers, PAP replacement remains slow, fragmented, and administratively burdensome.
Arima Health was built to address the clinical and operational gaps that cause PAP replacement cycles to break down.
Why PAP Replacement Breaks Down
From a DME perspective, PAP replacement appears straightforward.
The patient has an established diagnosis. Insurance allows replacement on a defined schedule. The commercial relationship already exists.
In practice, the process stalls upstream.
Payers require updated confirmation of continued medical necessity. That requires clinical re-evaluation, often years after the initial diagnosis. DMEs do not control access to clinicians, appointment availability, or documentation timelines.
Patients must reconnect with sleep providers they have not seen in years. Scheduling takes time. Records move between multiple organizations. Each step adds friction.
As a result, PAP replacement cycles stretch from weeks into months. Patients disengage. DMEs absorb the operational cost of delays they cannot resolve.
A PAP Replacement Pathway Designed for Scale
Arima Health delivers PAP replacement through a virtual-first sleep care model designed to remove friction from requalification and documentation.
Arima manages the clinical pathway. DMEs receive complete, standardized documentation that enables faster fulfillment and cleaner claims.
Identifying patients eligible for PAP replacement
Patients entering a PAP replacement window are identified using objective criteria, including:
Original therapy start date and device age
Coverage and replacement eligibility windows
Renewal timing
Once eligibility is identified, patients receive automated outreach through digital channels they already use.
This removes the need for manual reporting and list management by DME teams.
Fast access to virtual sleep clinicians
Patients are guided to schedule a virtual visit with an Arima Health sleep clinician, typically within days.
During the visit, clinicians:
Review PAP adherence and symptom history
Order and interpret updated home sleep testing when clinically appropriate
Confirm continued medical necessity
Issue an updated PAP prescription
Care is delivered efficiently without in-person visits or disruption to daily schedules.
Complete documentation returned to DMEs
Following clinical review, Arima Health generates a complete digital documentation packet, including:
Updated PAP prescription
Medical necessity documentation
Relevant compliance records
Documentation is standardized, complete, and ready on first submission.
What previously took months is completed in days.
Business Outcomes
More predictable replacement volume
Reliable PAP replacement cycles support better forecasting and steadier recurring revenue.
Higher completion rates
When clinical access is easy, more patients complete the replacement process.
Faster time to fulfillment
Shorter cycles mean equipment ships sooner and revenue is recognized earlier.
Scalability without additional headcount
Replacement volume grows without increasing administrative burden.
Why PAP Replacement Matters Now
Patient expectations have shifted toward digital access and convenience. At the same time, payer documentation requirements continue to increase.
Manual workflows built around phone calls, faxes, and fragmented clinical access are no longer sustainable.
PAP replacement is particularly well suited for modernization. The clinical requirements are standardized. The patient population is known. The inefficiencies are structural.
What has been missing is a care model that connects clinical requalification, documentation, and downstream fulfillment into a single pathway.
Arima Health provides that model.
About Arima Health
Arima Health delivers comprehensive, virtual-first sleep care. The platform connects patients to clinicians through digital workflows that support diagnosis, ongoing management, and PAP replacement.
By redesigning sleep care around access, speed, and completion, Arima Health helps patients stay on therapy and helps DME partners operate more efficiently.
