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AI agents and copilots built for the way your team works

Automate payor and PBM data collection with digital and voice-powered AI

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44%

of the Fortune 50 supported

1400+

payors supported

10%

increase in data quality

30 min

average savings per patient case

4M+

calls completed and counting

The Infinitus AI platform

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AI agents

End-to-end automation of payor data collection

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AI copilot

AI-assisted phone calls to increase productivity

Say hello to your new top performers.

Infinitus AI agents

Our enterprise-ready solutions harness digital and voice-powered AI to efficiently gather data from government and commercial payors and PBMs to save time and accelerate patient access to care. Our AI agents:

  • Collect data from electronic data sources
  • Call payors to ask remaining questions via phone
  • Educate agents and push back when information is out of compliance
  • Escalate to a human operator when needed
  • Are loved by payor agents and customers
  • Get task results in seconds, up to 6 business hours if a call is needed

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Our AI agents in action

Offload repetitive admin tasks and increase patient engagement. Unlike current solutions that require manual calls and multiple vendor integrations, Infinitus captures comprehensive information quickly in one place.

Benefit verification

Automate tasks to quickly understand a patient’s medical and pharmacy coverage. Access the latest information from commercial payors at the plan and group number level, and local and national Medicare product coverage. Collect detailed data such as:

  • Plan details (deductible, OOP, plan type)
  • Network status
  • Drug & admin coverage
  • Coordination of benefits
  • Prior auth requirements
  • Specialty pharmacy requirements
  • Buy and bill availability
  • Local (MAC) and national product coverage for Medicare Part B

Prior authorization

Understand if a treatment requires prior authorization (PA) and if the PA is active and on file. Get up-to-date information on PA status and accelerate patient access to care. Collect data such as:

  • Prior Authorization requirement
  • Prior authorization status (not on file, pending, canceled, approved, denied)
  • Approved (+ approval details)
  • Denied (+denial reason, appeal options)

Formulary exceptions

Understand if a formulary exception has been submitted and approved by the payor. Get up-to-date information on formulary exception status and accelerate patient access to care. Collect data such as:

  • Formulary exception Status
  • Process to submit Formulary exception
  • Approved (+ approval details)
  • Denied (+denial reason, appeal options)

Appeals

Understand if a prior authorization or formulary exception appeal has been submitted, and approved. Get up-to-date information on formulary exception status and accelerate patient access to care. Collect data such as:

  • Status of the Appeal
  • Approved (+ approval details)
  • Denied (+denial reason, appeal options)
  • Process to submit Appeals
  • Levels of appeals available

Bridge eligibility

Automate periodic reverification tasks to confirm if patients should still be eligible for Bridge programs by calling payors to determine if coverage has changed and next steps. Ensure your patients remain eligible for bridge programs, or if they are ready to be transitioned to commercial coverage. Collect data such as:

  • Patient plan validity with the commercial plan
  • Product coverage- Whether the therapy is now covered
  • Coverage exception options available such as prior authorization, formulary exception
  • Approved (+ approval details)
  • Denied (+denial reason, appeal options)

Insurance discovery

Automate the identification of a patient’s insurance plan to get detailed benefits. Get the current medical or pharmacy plan details for a patient. You can also indicate that the detailed Benefits Verification tasks should be collected. Collect data such as:

  • Medical Payor Name, Subscriber ID, Effective Date, Plan information
  • PBM Payor Name, Phone Number, Plan information

Give your team the ultimate productivity boost.

The Infinitus AI copilot

Up to 40% of an administrative healthcare call can be spent navigating IVRs and waiting on hold. Our enterprise-ready AI copilot, FastTrack™ enables employees to bypass tedious IVR systems and hold times to save time and scale your business.

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Save time

Draw from our vast Payor Intelligence knowledge graph for the best numbers to call, the best times to call, and insight into hold times and availability.

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Scale your business

Increase calls per day per employee by 25% or more. FastTrack navigates IVRs and waits on hold for multiple calls simultaneously, alerting your employee when an agent joins.

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Get enterprise-ready AI

Use FastTrack for tasks such as claim status, prior authorization requests, and patient benefits. Like the entire Infinitus platform, it’s HIPAA and SOC 2 Type 2 compliant.

Our AI copilot, FastTrack™ delivers features like:

  • Intelligent call initiation for the best payor numbers, call times, and insight into hold time and availability
  • Parallel call queuing to eliminate downtime between calls
  • AI-generated call summaries to save time on documentation
  • Automated productivity nudges to stay focused on the tasks at hand
  • And many more

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The Infinitus AI platform

Our approach isn’t a simple wrapper around the latest transformer model. This is how we achieve the accuracy, speed, scale, and security needed for healthcare office data.

AI experiences to suit your needs

AI agent and AI copilot products offer a range of capabilities from augmenting your team to full task automation

Comprehensive guardrail strategy

Numerous technology and human guardrails in place before, during, and after calls to ensure safety and prevent hallucination

Multi-model/multimodal architecture

Hundreds of models – highly performant shallow, custom fine-tuned, and in-house audio and text models, plus large language models (LLMs)

Knowledge graph

Up-to-date intelligence on payor rules and guidelines gathered from millions of calls and data partnerships

The security triad at Infinitus

Secure, reliable AI built for healthcare

Infinitus offers the enterprise-grade security, compliance, and availability you need to confidently delegate data collection tasks to AI, including:

  • HIPAA and SOC 2 Type 2 Compliant
  • Guardrail strategies to prevent hallucinations
  • De-identified data used in model training
  • Third-party data source redundancy

Integrates with your existing systems

Infinitus AI agent and AI copilot solutions can be launched directly from within popular systems of record such as EPIC, Cerner, Athena, and Salesforce. Seamlessly incorporate AI into your administrative workflows and get patients on therapy faster:

Infinitus' SMART on FHIR for EHRs
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Make one call to change it all.

Join 80,000 providers creating more time for patients and changing US healthcare as we know it.