Challenges in Benefit Verification Process
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Questions and Answers

What is the main challenge in the benefit verification process across the industry?

  • Lack of seasonal workers
  • High-quality technology integration
  • Receiving therapy too quickly
  • Manual and time-consuming process (correct)

    • What happens in January that affects the benefit verification process?

  • Companies hire additional full-time workers
  • The benefit verification process becomes automated
  • A decrease in benefit verification requests
  • The reverification process kicks off (correct)

    • What was the outcome of integrating Infinitus' AI digital assistant into Cencora's proprietary ecosystem?

  • A 4x decrease in benefit verification turnaround time
  • A 10% increase in benefit verification requests
  • Infinitely scalable, with 4x faster turnaround time (correct)
  • A 10x decrease in full-time workers

    • How many full-time workers' work was offset by integrating the Infinitus digital assistant?

    <p>Over 100 full-time workers</p> Signup and view all the answers

    What was the result of the technology integration, according to the quote?

    <p>The results were tremendous</p> Signup and view all the answers

    What does Cencora's tech-enabled ecosystem utilize?

    <p>State-of-the-art technology</p> Signup and view all the answers

    What is the main reason Cencora embraced AI?

    <p>To save valuable time by automating calls to payors and benefit managers</p> Signup and view all the answers

    How does Infinitus contribute to efficient patient support?

    <p>By completing the same phone calls daily as over 100 full-time workers</p> Signup and view all the answers

    What is the importance of Infinitus pushing back on incorrect or incomplete information?

    <p>It can prevent significant delays in treatment due to inaccurate information</p> Signup and view all the answers

    What can the Infinitus AI digital assistant automate for patient support programs?

    <p>Calls to commercial and government payors</p> Signup and view all the answers

    How does Cencora benefit from using the Infinitus digital assistant during reverification season?

    <p>By dedicating workers to patient support tasks instead of phone call operations</p> Signup and view all the answers

    What can Infinitus support with its AI digital assistant?

    <p>A thousand therapies, procedures, medications, and tests</p> Signup and view all the answers

    Study Notes

    Benefit Verification Process Challenges

    • A significant challenge in the benefit verification process is managing the complexity and volume of cases, leading to delays and inaccuracies.
    • January brings new insurance plans and coverage changes, complicating benefit verification as systems need to be updated to reflect these changes.

    Integration of Infinitus AI Digital Assistant

    • Infinitus' AI digital assistant was integrated into Cencora's proprietary ecosystem to enhance operational efficiency.
    • The integration resulted in the offsetting of work equivalent to the efforts of 30 full-time employees, significantly reducing operational strain.
    • The technology integration led to higher performance with improved accuracy in benefit verifications.

    Cencora's Tech-Enabled Ecosystem

    • Cencora's ecosystem leverages advanced technology, including AI, to streamline processes and ensure reliable patient support.
    • Cencora adopted AI primarily to enhance efficiency and accuracy in handling patient and provider interactions.

    Role of Infinitus in Patient Support

    • Infinitus aids in delivering efficient patient support by providing timely responses and accurate information.
    • The AI assistant can automate various tasks for patient support programs, minimizing manual workload and enhancing overall service delivery.

    Importance of Correct Information

    • Infinitus plays a crucial role in pushing back against incorrect or incomplete information, which can lead to costly errors and patient dissatisfaction.

    Benefits of Infinitus During Reverification Season

    • During the reverification season, Cencora benefits significantly from using the Infinitus digital assistant, as it reduces the labor burden and expedites the verification process.
    • Infinitus can support numerous functions within the verification and patient assistance workflows, contributing to a more streamlined and efficient operation.

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    Description

    Learn about the challenges faced in the benefit verification process within the healthcare industry. Understand the impact of manual processes and spikes in requests on therapy delivery timelines.

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