All Healthcare automation

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...

For healthcare workers already plagued by the burden of administrative overwhelm, repeatedly checking in on the status of a prior authorization adds to an already taxing clerical burden. And yet, it’s necessary – if these calls aren’t completed in a timely fashion, patients can face delays in treatment and providers risk losing revenue. That’s why...

Today’s patients have access to more information and are more engaged consumers of their care than ever before. This has underscored the importance of patient services, and has led to a shift in focus from traditional, provider-centered models toward true patient centricity. Much progress has been made, in terms of addressing the needs, values, and...

We are excited to announce that John Driscoll has joined the Infinitus board of directors. Senior advisor at Walgreens Boots Alliance (WBA) and EQT Group, Driscoll brings with him more than 25 years of healthcare leadership experience. Before joining WBA, Driscoll served as CEO at CareCentrix; as president at Castlight Health, a healthcare technology company;...

Often, new solutions for call center staff claim that they’re powered by AI when in reality, they’re just hoping to capitalize on a buzzworthy phrase. At best, these tools may offer a simple wrapper around an existing GPT model and call it a day.  This matters because GPT on its own cannot do what FastTrack™,...

We founded Infinitus with a vision to make healthcare “wait-less.” Since our founding in 2019, we’ve been committed to creating a future where (a) every patient has up-to-the-minute information and support at every stage of their healthcare journey, (b) technology works for employees instead of the other way around, and (c) our company can continue...

We are excited to announce that FastTrack™, the first purpose-built AI copilot for healthcare, enters general availability today. FastTrack is an enterprise-ready AI copilot that enables healthcare staff, such as reimbursement specialists, to bypass tedious IVR systems and avoid hold times. This helps healthcare companies to save time so they can serve more patients. Whether...

We’re excited to announce a SMART on FHIR application that can support electronic health record (EHR) integrations across our product suite. With this app, Infinitus solutions can be launched directly from within popular systems of record for health systems. The solution enables users of these systems to trigger offerings in the Infinitus platform, like the...

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...

SAN FRANCISCO – August 7, 2024 – Infinitus has been named the winner of a Silver Stevie® Award in the Healthcare Technology – Technology Breakthrough of the Year category in the first annual Stevie Awards for Technology Excellence, “the Olympics for technology.” The Stevie Awards for Technology Excellence celebrate the remarkable accomplishments of individuals, teams,...

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...

Earlier this year, we shared the details of our multi-model, multimodal AI system. Now we’re introducing some of the human experts who help make the work of Infinitus, and our human-in-the-loop machine learning, possible. Infinitus learns a lot from human feedback – which is why it’s important to note that our human team represents all...

This piece is excerpted from Separating AI fact from fiction: A guide for healthcare leaders. You can read the full ebook here. If what’s written about in popular media were to be believed, there’s nothing AI can’t quickly and easily automate. In reality, that’s not exactly the case – especially when it comes to sensitive,...

The recently released 2024 Future Health Index zeroed in on something all healthcare workers have known for some time: staffing shortages are hindering the ability to provide the best possible patient experience.  The good news is, per the report, it seems healthcare leaders have realized that a solution may be found in the automation of...

We’re excited to share a new model architecture that outperforms other approaches for phone call automation in our real world, healthcare setting. The model is a graph aware language transformer, which has more flexibility than traditional model pipelines and more reliability (meaning no hallucinations), as well as lower latency than the latest prompt models for...

Infinitus is a healthcare AI company, but humans play a number of key roles in delivering a seamless experience to our customers and those who receive our AI agent’s calls. Like most companies that build modern AI systems, we learn a lot from human feedback – which is why it’s important to note that our...

Our customers have referred to the Infinitus AI agent as the best performer on their team. And while the AI agent – we call her Eva – may seem like magic to the payor representatives she speaks to, it is in fact the Infinitus knowledge graph that powers her capabilities.  Those capabilities are anything but...

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...

Last week, members of the Infinitus team attended Asembia’s AXS24 Summit, the annual conference that brings together leaders from across the pharmaceutical landscape to discuss the industry’s biggest trends, issues, and developments. Every Asembia summit is a chance to learn – and not only from speakers who take the stage – and this year’s conference...

AI agents are everywhere, with some news outlets proclaiming them to be the future of AI. We don’t disagree.  At Infinitus, we talk a lot about our AI agent and the technology that powers it. Also known as Eva, the Infinitus AI agent makes phone calls to commercial and government payors on behalf of healthcare...

You’re ready to embrace AI. Now what? Any AI solution under consideration should help empower your 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 colleagues...

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...

There’s a lot to see and do at Asembia’s AXS24 Summit, and more people than you could ever hope to meet in just five days. Which means it takes some preparation to successfully navigate what others have dubbed “spring prom” for the specialty pharmacy industry. I’ve been attending the summit for 10 years, which means...

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...

If you ask many experts, they’ll tell you AI is a discipline within computer science. After all, AI is concerned with creating computer systems that can perform tasks typically requiring human intelligence; it makes logical sense.  I understand where those that label AI as computer science are coming from. But I also disagree with them. ...

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...

Chatbots are everywhere in healthcare news, with some outlets even proclaiming the AI-powered technology to be “the future of healthcare.”  At the same time, you’ve likely heard about conversational AI’s potential to transform the industry too.  But when it comes to provider- or payor-facing communications, like phone calls to retail pharmacies or major medical insurance...

2023 will go down in history as the year artificial intelligence in its current incarnation went mainstream, and it won’t be slowing down this year. To many, the technology’s arrival – and pressure to be incorporated at work – felt sudden. Regardless, the healthcare industry is in dire need of the kind of help AI...

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....

While AI is dominating many conversations in healthcare, relatively few organizations in the space actually use generative AI tools, according to a recent survey. Among the primary reasons why are concerns about hallucinations, accuracy, and reliability. At Infinitus, we are committed to our mission of improving access, adherence, and affordability in healthcare – but along...

If the ultimate goal of patient support programs is to create holistic, patient-centric ecosystems of assistance, 2023 saw strides forward. Patient support programs are better than ever at creating and analyzing meaningful data and have improved dramatically at providing the personalized engagement that patients desire. But there is still more to be done.  In 2024,...

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...

Depending on your company and role within healthcare, you’re either researching AI, experimenting with AI, or scaling up your approach. But regardless of where you are in your AI journey, there are a number of questions to answer and items to mull over.  Here are some key considerations to weigh as you embark upon creating...

We’re often asked whether the Infinitus digital assistant uses ChatGPT, or on a more general level, whether ChatGPT can automate calls from healthcare providers to payors like Infinitus does. After all, based on the media coverage OpenAI’s chatbot has received, it almost seems as if there’s nothing ChatGPT can’t do.  It’s worth noting that ChatGPT...

For healthcare leaders in 2023, understanding the nuances of artificial intelligence (AI) is essential. Whether you’re a seasoned healthcare professional or newer to the industry, odds are you’re being asked to incorporate AI into your plans.  But the world of AI can be complex, filled with terminology and acronyms that can be overwhelming. Below, we’ve...

AI is everywhere – dominating headlines, business meetings, and even conversations at the dining room table. But as healthcare and pharma leaders, and not necessarily AI experts, many of our customers and partners have questions about the technology.  Machine learning, deep learning, large language models (LLMs), generative AI … these terms are all interconnected, but...

The COVID-19 pandemic increased the amount of time we spend communicating through screens instead of in person. The result: a growing sense of isolation, one that the US Surgeon General Dr. Vivek Murthy believes contributed to an “epidemic of loneliness.” This highlights a paradox: Healthcare, one of the most personal of services, now lacks connection...

Picture today’s tech landscape as a pendulum in motion, swinging between two distinct poles. At one extreme, there’s a somewhat prevalent notion where AI not only equals, but eventually outshines human intelligence. On the other side, there’s a lingering concern that AI could displace human roles, rendering us obsolete.  This narrative overlooks the fertile middle...

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...

As the American Medical Association puts it, prior authorization creates “a huge administrative burden” for healthcare providers that often delays patient care. Despite this, reports suggest prior authorizations are increasingly common – and are increasingly leading to problems. The good news is: Prior authorization automation – especially in patient access programs – can be a...

The world of AI and large language models (LLMs) is in a state of constant flux, change, and improvement. At Infinitus, we’re focused on keeping up with the latest – both in our own research, and in that which we read. It is our hope that the research papers and articles below will provide some...

When it comes to prior authorizations (PAs), ePA or 278 solutions aren’t enough. It’s often challenging to resolve complex or time-sensitive prior authorizations electronically. Details such as PA status, denial reasons, and appeal options either aren’t readily available or the turnaround time is too long. In these cases, healthcare providers’ staff often manually call a...

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...

Artificial intelligence (AI) dominates today’s headlines, with the stories see-sawing between two fears: AI will take over our brains, or humans will also lose their jobs to AI. “AI doomerism,” as the Techdirt blog calls it, sees little middle ground between humans and AI.  But at Infinitus, we have a more positive vision of the...

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...

Recently, Arushi Raghuvanshi, Infinitus’ machine learning lead, presented the results of an Infinitus research project at the Association for Computational Linguistics annual meeting. The resulting research paper, “Leveraging Explicit Procedural Instructions for Data-Efficient Action Prediction,” explored leveraging explicitly stored agent guidelines, such as company policies, customer service manuals, or documents on standard operating procedures, to...

Recently there have been huge advancements in the ability of large language models (LLMs) to handle conversational systems. In many practical industry settings, the conversational AI systems we want to build are task-oriented dialog systems (TODs). In these systems, the goal is to help a user complete a task or collect certain information. For many...

Key Insights: ‍ Much of the attention on healthcare has focused on lower patient outcomes even in the face of ever-escalating costs.  And there seems to be no end in sight. But lost in that understandable outrage is another important story around healthcare: the agony and emotional stress of waiting. A doctor visit can be...

The latest investment in Infinitus validates the urgent need to address the overwhelming administrative burden in healthcare and our vision to do so with VoiceRPA. This announcement comes on the heels of a tremendous growth period for Infinitus, having grown enterprise revenue by over 300% in the past twelve months.

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.

How Infinitus helped VaccinateCA improve their coverage of Covid-19 vaccination sites by automating calls to 2500 pharmacies every day.

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.

Today, my co-founder Shyam Rajagopalan and I are introducing the world to Infinitus, a voice robotic process automation (Voice RPA) company targeted to reduce the complexity and cost of healthcare in the United States. We have been working on this project since February 2019 and are excited to share our progress on it on this blog over the coming years.