Our Benefit Verification uses patient insurance card images to pinpoint the right contact numbers, employing AI for direct calls to plans and PBMs. When AI encounters limitations, our human team takes over, guaranteeing thorough support. This process illuminates drug coverage status, prior authorization needs, and estimated out-of-pocket costs.

The Clinical Eligibility tool utilizes AI to predict prior authorization outcomes, allowing for the submission of first-time approvals. By examining patient coverage alongside prescribed drugs and clinical data, it ensures that prescriptions align with insurance policies, streamlining the path to treatment.

Our Prior Authorization solution transforms the tedious process of form completion. Leveraging AI to autofill necessary clinical information, it drastically reduces the time and effort involved, facilitating quicker access to essential medications and improving overall patient care efficiency.