A safety-first healthcare voice AI platform that automates phone calls to patients, payors, and providers
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Payor organizations face rising call volumes, growing member expectations, and pressure to control costs. Infinitus enables health plans to deliver personalized, 24/7 member support at scale without adding staff. Our AI agents automate member interactions across onboarding, administrative inquiries, and proactive care navigation, reducing operational costs while improving member satisfaction and health outcomes.
Unsustainable call center operations
Rising call volumes and member expectations are colliding with operational reality. Costs spiral as health plans struggle to contain expenses, while staff burn out handling the same repetitive inquiries about benefits, coverage, in-network providers, and out-of-pocket costs.
High-risk members fall through the cracks
20% of members drive 80% of total costs. These high-risk patients with chronic or complex conditions need personalized, continuous support to close care gaps and prevent avoidable utilization, support that traditional models can’t deliver at scale.
Automate the high-volume member inquiries that drain resources and overwhelm call centers. Reduce call volume, decrease handle time, and free staff to focus on complex cases that require human expertise. Bend the cost curve on call center operations.
Replace “please hold” with instant, personalized support, 24/7, by phone, chat or text. Members get answers about their coverage, costs, and care options in real-time, resulting in increased member satisfaction and reduced churn.
Engage high-risk members with continuous support. AI agents proactively engage members to close care gaps, schedule preventive visits, and support medication adherence before conditions escalate. Improve HEDIS and Stars scores while lowering total cost of care.
Set every member up for success from the start with personalized onboarding. AI agents welcome new members, explain plan basics and key benefits, capture communication preferences, conduct health risk assessments, establish themselves as 24/7 resources available by voice, chat, or text, and guide members through next steps.
Replace frustrating legacy IVR with conversational AI that asks “how can I help you?” Members seamlessly reach the help they need, whether resolved instantly by AI or routed to the right team member, eliminating hold times, transfers, and frustrating phone trees.
Drive high containment rates by resolving routine inquiries from start to finish. AI agents answer member questions about coverage, provider network status, and claims status instantly. Members get accurate answers when they need them, and call centers see fewer escalations and reduced operational costs.
Engage high-risk members proactively throughout their care journey. AI agents remember each member’s unique care journey and needs, reaching out to close care gaps, schedule preventive visits, support medication adherence, and guide next best actions for managing chronic conditions before they escalate into costly ER visits or readmissions.
Why health plans choose Infinitus
Proven member satisfaction
90% of members rate their experience positively
Superior performance
Infinitus AI agents outperform human benchmarks by >18% in specific functions
Proven at scale
>100 million minutes of conversations automated to date
Enterprise adoption
Trusted by 44% of Fortune 50 healthcare companies
Clinical + Payor Intelligence
Purpose-built for health plan workflows, powered by the largest healthcare knowledge graph built on millions of real-world interactions
Healthcare-grade safety and compliance
Built for regulated payor environments with HIPAA compliance, PHI protection, industry-leading safety guardrails, audit trails, and workflow controls
Whether you’ve got a provider division that makes calls or not, payors get the benefit of partnering with Infinitus, too.
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