Insurance Eligibility Verification for Specialty Pharmacy Managers

The Problem

Front-desk eligibility checks for Specialty Pharmacy patients run manually against payer portals — patients show up with inactive coverage and the practice absorbs the write-off.

What We Build

AI runs eligibility 72 hours before every appointment, flags inactive or changed coverage, and triggers patient outreach for new info — write-offs from bad eligibility drop 85%.

Tools & Integrations

CareTend TherigySTM PioneerRx CoverMyMeds Zapier

How It Works

1

Discovery Call

We map your current insurance eligibility verification process and identify exactly where AI saves the most time.

2

Build & Integrate

We build the AI workflow and connect it to the tools you already use — no software changes required.

3

Review & Refine

You review the results, we fine-tune until the workflow matches your standards — then it runs on autopilot.

Ready to automate insurance eligibility verification?

Book a free 30-minute call. We'll walk through your current process and show you exactly how this workflow would work for your team.

Related Workflows