Custom AI workflows built specifically for specialty pharmacy: deep integrations with the CareTend stack, healthcare-grade privacy, and workflows that pay back in weeks, not years.
AI classifies each refill request against protocol, auto-approves routine refills with provider sign-off, and escalates anything requiring clinical judgment — nurse hours return to clinical work.
AI checks payer-specific PA requirements, pulls the chart from CareTend, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.
AI runs PDMP checks on every controlled-substance order, documents the check in CareTend, flags concerning patterns, and generates compliance reports — audit-ready, every prescription.
AI schedules infusions against chair capacity in CareTend, verifies drug stock and PA, and rebalances when patients reschedule — chair utilization climbs and patients stop waiting.
AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles.
AI sends the intake packet via CareTend, ingests responses, requests records from prior providers via HIE/fax, verifies insurance, and pre-populates the chart — patient arrives and the provider is ready.
AI triages incoming referrals by acuity, schedules them into open slots in CareTend, and chases outgoing referral loop closure with consulting providers — no referral gets lost.
AI sends personalized, channel-optimized reminders (SMS/email/voice) per patient preference, offers reschedule slots, and fills openings from the recall list — no-show rate drops to under 6%.
For specialty pharmacy managers
For specialty pharmacy managers
For specialty pharmacy managers
For specialty pharmacy managers
For specialty pharmacy managers
For specialty pharmacy managers
The workflows above are starting points. Every specialty pharmacy operation runs differently — we build what you actually need.
