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Infinitus automates benefit verification, prior authorization, and prescription savings calls to providers and PBMs on behalf of healthcare providers.
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As the American Medical Association puts it, prior authorization creates “a huge administrative burden” for healthcare providers that often delays patient care. Despite this, reports suggest prior authorizations are increasingly common – and are increasingly leading to problems. The good news is: Prior authorization automation – especially in patient access programs – can be a…
At Infinitus, we develop and use artificial intelligence (AI) in a responsible manner. This includes avoiding creating or reinforcing unfair bias. We are optimistic that our AI and machine learning (ML) techniques are fair and unbiased, but recognize that advanced technologies can raise concerns and challenges. Infinitus provides software as a service (SaaS) applications and…
San Francisco — Aug. 29, 2023 — Infinitus Systems, Inc., the AI platform for healthcare communications, today announced it is expanding its use of Google Cloud AI technologies to automate payor-facing medical and pharmacy benefit verifications and prior authorization calls.
On Aug. 22, we were joined for a special talk by NBA veteran and four-time league champion Andre Iguodala. The all-star swingman, who played in the league for almost two decades, spoke candidly about his experience as an athlete, an investor, and a father. Here are 10 takeaways from Iguodala’s fireside chat with the Infinitus…
The world of AI and large language models (LLMs) is in a state of constant flux, change, and improvement. At Infinitus, we’re focused on keeping up with the latest – both in our own research, and in that which we read. It is our hope that the research papers and articles below will provide some…
A wrongly denied insurance claim is a double-whammy. First, and most importantly, it can cause a delay in a patient’s treatment (and as a result, delayed revenue for the provider). But it also results in increased costs associated with re-submitting a claim. And unfortunately, benefit verification errors, which lead to such denials, aren’t uncommon. Those…
Artificial intelligence (AI) dominates today’s headlines, with the stories see-sawing between two fears: AI will take over our brains, or humans will also lose their jobs to AI. “AI doomerism,” as the Techdirt blog calls it, sees little middle ground between humans and AI. But at Infinitus, we have a more positive vision of the…
The new year is a time of hope and renewal, of setting goals and refocusing on the big picture. But it is also a time of uncertainty when it comes to health insurance; with the new year comes changes in health insurance coverage, cost share, and authorization requirements. This annual cycle creates uncertainty for patients about…
Recently, Arushi Raghuvanshi, Infinitus’ machine learning lead, presented the results of an Infinitus research project at the Association for Computational Linguistics annual meeting. The resulting research paper, “Leveraging Explicit Procedural Instructions for Data-Efficient Action Prediction,” explored leveraging explicitly stored agent guidelines, such as company policies, customer service manuals, or documents on standard operating procedures, to…
Recently there have been huge advancements in the ability of large language models (LLMs) to handle conversational systems. In many practical industry settings, the conversational AI systems we want to build are task-oriented dialog systems (TODs). In these systems, the goal is to help a user complete a task or collect certain information. For many…
When it comes to benefit verifications, ambulatory surgery centers are under intense pressure to turn around authorizations quickly. However, it’s not uncommon for this crucial task to take longer than expected. Coverage information online is often incomplete, and staff must make multiple calls to payors to close out inquiries and ensure procedural dates are met….
Healthcare executives in Pharmaceutical and Specialty Pharmacy industries are stuck between a rock and a hard place. Their staff is overwhelmed with a backlog of tasks, including calls to payors and PBMs to verify patient benefit information. While the status quo has been to hire more people, candidates are nowhere to be found and this…
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