Independent and chain pharmacies alike are fighting a two-front battle: a mounting administrative burden and rising patient expectations for friction-free access to medication. Every prior authorization form, benefit eligibility check, and copay program adds minutes—or hours—to the fill queue, stretching staff thin and risking customer loyalty.
Our AI-driven product suite removes those bottlenecks by automating the slowest, most error-prone steps in pharmacy operations. The result? A faster path from prescription to pickup, healthier margins, and happier patients.
We combined four complementary products—AI Voice Call Prior Authorization, Insurance Eligibility Verification, Medicare/Medicaid Fraud Detection, and Maximizer & Accumulator Monitoring—into one seamless workflow built for pharmacies.
Below you’ll see how each product slots into the dispensing life-cycle and what measurable impact early adopters are already seeing.
AI-initiated voice calls submit prior-auth requests in <10 minutes, freeing technicians from 14.6 hours of weekly hold music.
Real-time eligibility checks reduce coverage-related denials by up to 25 % and surface lower-cost formulary alternatives instantly.
Fraud analytics and accumulator monitoring safeguard reimbursement and ensure copay assistance is applied exactly as intended.
Riverfront Community Pharmacy in Dayton, OH fills 3,600 prescriptions weekly—35 % of which require a prior authorization or specialty benefit verification. Before implementation, two technicians spent most of their shifts on payer portals, fax machines, and 1-800 lines.
In January 2025, Riverfront deployed our full automation stack. Within the first 60 days the pharmacy:
• Reduced average time-to-approval from 46 hours to 6.5 hours
• Recovered $17 K in revenue by preventing payer re-adjudications
• Redirected 1.1 FTE from paperwork to vaccination services, boosting clinical revenue
How did they get there? The secret is intelligent orchestration of data from four distinct modules, each feeding the next.
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