AI For Patient Eligibility and Benefits

AI with advanced workflow automation for challenging prior authorizations. 

Offered with flexible fees models

Benefit Investigations with AI

Manual benefit investigations are costly with delays in start of therapy.

Technology and Managed Services

  • Faster Eligibility Verification: Quickly and accurately confirm patient eligibility, reducing wait times and accelerating the path to therapy initiation.
  • Proactive Denials Management: Technology and humans teams to work the denial bucket for resolutions.
  • Working Prior Authorization: Using technology to reduce staff work load to meet the requirements of payor for prior authorization process.

Patient Support Programs

Large language models for hyper personalized patient engagement.

Address therapy abandonment

  • Abandonment Risk Index: The LLM model indexes the risk of therapy abandonment.
  • Engagement Behavior Model: The EBM segments and schedules personalized interventions.
  • Follow up Channels:
    Combination of intelligent and contextual contact with availability of care navigator.
  • Reduce Per Rx Dispense Hours

    Protect the most valuable resource - Pharmacy staff time.

    Pharmacy purpose-build automations

  • Smarter Automation: Reduce tech hours by 30% with automated email templates, personalized messaging, and intelligent task prioritization.
  • Improve Team Productivity: Free your team to focus on patient care instead of repetitive administrative tasks.
  • Operational Scalability: Handle more prescriptions without increasing staff or resources, driving efficiency and profitability.
  • AI Technology Partner
    Optimizing operations for partners.