With over 65 years combined experience, we have a long track record of delivering timely solutions for our clients.
Navigating private health insurance systems is essential for medtech, diagnostics, and digital health companies seeking market access and sustained adoption. At Odelle Technology, we support clients in securing private reimbursement across the United States, United Kingdom, and Europe, aligning each technology with the relevant clinical, coding, and economic requirements for coverage.
Our expertise spans both national and insurer-specific frameworks, helping companies prepare strong coding, pricing, and value dossiers that resonate with private payers.
Each market relies on distinct procedure coding systems, which influence billing and approval:
- USA: CPT and HCPCS, including Medicare Advantage and commercial plan coding
- UK: CCSD and OPCS used across the independent sector
- Germany: OPS for procedures, GOÄ for private outpatient billing
- France: CCAM and NGAP codes, negotiated via mutuelles and UNOCAM
- Switzerland: TARMED and SwissDRG for outpatient and inpatient care
- Spain: CMBD coding with insurer-specific tariffs (e.g. Sanitas, DKV)
- Italy & Belgium: SNO and INAMI/RIZIV frameworks adapted to private sector billing
We map technologies to appropriate codes, identify coding gaps, and support submissions for new code creation or adaptation.
Private insurer decisions are shaped by clinical evidence, cost impact, coding validity, and policy precedent. We help:
- Prepare technical and economic value dossiers
- Navigate medical board and actuarial review
- Align pricing with benefit tiers and co-pay structures
- Engage directly with major insurers across markets (AXA, Bupa, Allianz, etc.)
We ensure accurate coding implementation within hospital billing systems, payer portals, and EHR platforms. Our team supports audit documentation, provider onboarding, and claims pathway design.
After initial success, we help scale access across new insurers and geographies by adapting approved pricing models and tracking outcomes for value-based renewal.
Odelle Technology provides the strategic support needed to unlock private insurer access — ensuring innovations are not only clinically validated but reimbursed.
To find out more and discuss your project, please contact us.