All Benefit verification

The Inflation Reduction Act – or IRA – contains $500 billion in new funding and tax breaks intended to boost clean energy, strengthen taxpayer compliance, and reduce healthcare costs. It includes three provisions concerning Medicare prescription drug prices that have the potential to dramatically impact the pharmaceutical industry, and patient support in particular. For a...

You’re ready to embrace AI. Now what? Any AI solution under consideration should help empower your patient support program to provide streamlined processes and, ultimately, quicker access to medications for those who need them most. To accomplish this, however, you’ll need to be sure you’re choosing the right vendor and that you can get colleagues...

How we use humans in concert with our multi-model, multimodal AI system to deliver real efficiency to over a dozen Fortune 500 healthcare customers Automating administrative phone calls in healthcare is no easy feat. The benefit verifications and prior authorization inquiries Infinitus automates can be an hour long, with hundreds of back-and-forth interactions that require...

Since Change Healthcare abruptly shut down its network Feb. 21, disruptions across the healthcare landscape have been far reaching. One unforeseen result has been a backlog of calls to payors and pharmacies, making it even harder for providers to get access to live agents on the phone. In an analysis of calls made by the...

Increasingly employer-sponsored plans are including copay accumulators, copay maximizers, or alternative funding sources as part of their plan design. In fact, estimates suggest about half of all lives covered by commercial insurance are enrolled in a plan that utilizes a copay accumulator and/or a maximizer.  If your team is responsible for guiding individuals through coverage...

Technically, the annual insurance reverification period (often known as blizzard) lasts just a handful of weeks. However, reality tells a different story. We know our customers spend months preparing for each January, when patients’ access to medication can be put into question because of changes to formularies, deductibles, and out-of-pocket requirements.  With this year’s blizzard...

It’s just a phone call. What could be so complicated? At first consideration, conducting – and even automating – phone calls to major medical payors and pharmacy benefit managers (PBMs) to perform benefit verifications doesn’t seem as if it should be all that complex. After all, these calls are extremely common, extremely frequent, and entirely necessary....

At Infinitus, we spend a lot of time talking about the advantages of benefit verification automation. AI can transform healthcare’s back-office administrative processes, helping create time for the industry to improve access, adherence, and affordability – something we’re committed to as an organization. But why is benefit verification, specifically, a strong fit for automation?  Read...

Benefit verification is one of the first steps after a patient schedules an appointment or is prescribed medication, but that doesn’t mean it’s a quick, easy, or inexpensive task. In fact, studies show that up to a quarter of total national healthcare costs can be chalked up to administrative expenses like benefit verification. Despite attempts...

We’re often asked whether the Infinitus digital assistant uses ChatGPT, or on a more general level, whether ChatGPT can automate calls from healthcare providers to payors like Infinitus does. After all, based on the media coverage OpenAI’s chatbot has received, it almost seems as if there’s nothing ChatGPT can’t do.  It’s worth noting that ChatGPT...

Healthcare professionals generally gravitate to the field because they genuinely want to help people. In my experience, from senior clinicians to researchers to administrative staff, everyone’s goal is to ensure patients get the right treatment as quickly as possible. One thing not on their career plan? Spending hours on the phone trying to complete benefit...

To date, Infinitus automates calls on behalf of healthcare providers to more than 500 payors. Those calls are faster and result in more accurate data for our customers, but we’re still often asked: Why do payors take calls from the Infinitus digital assistant? As it is for healthcare providers, digital transformation is a top priority...