All Benefit verification

In 2026, the results of routine checks on patients’ Medicare eligibility have become unpredictable due to a sweeping set of security reforms from the Centers for Medicare & Medicaid Services (CMS). CMS moved to tighten security across the program following a data breach that exposed the personal information of millions of beneficiaries and compounded years...

When people talk about the cost of GLP-1 medications, the conversation usually centers on the drugs themselves. Our latest analysis suggests something different: what patients pay often depends less on the medication than on the label attached to it. By analyzing more than 165,000 insurance verification transactions processed on the Infinitus platform in 2026, we...

This month, the Infinitus team launched new features to: There’s more, too. Read on to learn about our additional updates, or contact us directly to get started with our agentic communications platform. Spotlight: Bring patients in the loop on payor calls when required Infinitus AI agents can now conference in patients on calls to payors...

The AI agent space in healthcare is crowded, and getting busier by the day. This is a good thing in many ways – but also a problem, especially for some payors. Why? Because calling payors to acquire benefits and eligibility data isn’t easy to do with AI. A simple wrapper around a generic LLM is...

For patients starting a new therapy, speed matters. Delays in access aren’t just logistical issues; they’re barriers that can jeopardize outcomes and undermine patient trust. Amgen’s U.S. Patient Access & Reimbursement (PAR) team is addressing this challenge with AI. By partnering with Infinitus to automate the benefit verification process, the team is helping providers and...

When the ball drops on New Year’s Eve, most people are counting down to a fresh start. But for many patients, that countdown comes with a different kind of anxiety: whether their insurance will still cover the medication they depend on come Jan. 1. Each new year brings plan resets, coverage shifts, and formulary updates...

Technology has transformed how we engage and transact with businesses, yet while many industries have modernized, healthcare remains slow to embrace change. In fact, many healthcare entities still rely on fax machines and phone calls between providers, patients, and payors to relay information and coordinate care. This manual coordination is one of the main culprits...

This month, the Infinitus team launched new features to: But that’s not all. Read on for more information, or contact us to learn more about how to get started with our voice AI platform today. Spotlight: Inbound patient call support Infinitus AI agents can now be reached directly by patients at their preferred time to...

We’re excited to announce our new expanded partnership with Salesforce, which will allow Infinitus and Salesforce joint customers to deploy Infinitus voice AI agents from directly within Salesforce Health Cloud and Life Sciences Cloud. Through this partnership, joint customers will be able to easily automate or manually launch verification of major medical and pharmacy benefit...

Infinitus is proud to be named a certified partner in Salesforce’s newly announced Life Sciences Cloud Partner Network, an ecosystem of trusted organizations advancing digital transformation in healthcare and life sciences. As part of this group, Infinitus will bring our voice AI agents to customers deploying Salesforce’s Life Sciences Cloud and Agentforce digital labor platform....

Reverification season – known as “Blizzard” by many in the industry – may officially last only a handful of weeks, but healthcare organizations start preparing for it months in advance. The reason? An enormous administrative workload that demands intense planning and resources.  At Infinitus, this is the busiest time of year for our voice AI...

In September, the Centers for Medicare and Medicaid Services (CMS) announced a change that many initially missed: Medicare Administrative Contractors (MACs) will remove beneficiary eligibility information from their interactive voice response (IVR) systems by March 31, 2025. Some have already begun to do so. With this change, CMS aims to improve security, reduce fraud, and...

We’re excited to announce a strategic partnership with Salesforce, enabling Infinitus voice AI agents to be activated directly from Life Sciences Cloud. With the partnership, Life Sciences Cloud users can utilize our voice AI agent to call payors and pharmacy benefit managers (PBMs) to verify insurance benefits, navigate prior authorizations, and check the statuses of...

Helping patients access therapy as efficiently as possible is critical to improving outcomes. This is just one of the reasons electronic benefit verification (eBV) solutions are popular – they represent a streamlined approach to getting the data that makes medication access possible. But with so many options on the market, and as technology and AI...

We’re excited to announce our AI eBV+ solution for patients covered by commercial insurance seeking access to specialty medications. Along with our existing instant Medicare Part B benefit verification offering, we are proud to now offer our customers a comprehensive AI-powered solution that goes beyond traditional eBV solutions and empowers healthcare providers to unlock medical...

Today, more than 34.2 million Americans are enrolled in original Medicare plans. This can create a challenge for pharma hubs, pharmaceutical manufacturers, and healthcare providers, which must understand Medicare Part B coverage before treatment can proceed.  That’s why Infinitus is excited to announce our newest offering: instantaneous Medicare Part B benefit verifications. With our new...

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 pharma 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...

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...

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...

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...

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...

Infinitus Systems, the leading VoiceRPA company for automating phone calls in healthcare, today announced its close of $30M in Series B financing, accelerating its position as the category leader in VoiceRPA.

We’re excited to announce that the Infinitus AI Benefit Verification offering is now generally available, and that we have raised $21.4 Million in Series Seed and Series A funding from Kleiner Perkins and Coatue Management.