Case Study: National Payor-Owned Specialty Pharmacy boosts efficiency and lowers costs with Infinitus

Under pressure to streamline operations and lower costs per fill, one specialty pharmacy looked to Infinitus for help supporting more patients and winning new business

National Payor-Owned Specialty Pharmacy Company was under pressure to improve operational efficiency, reduce cost per fill, and work through a backlog of benefit verification calls while dealing with staffing constraints. To help support more patients and position the business for growth, the specialty pharmacy turned to Infinitus and its AI agent for specialty pharmacy call automation.

Infinitus implemented its AI agent to automate benefit verifications first for home health products and later across hundreds of medications, with the solution also taking on prior authorization follow-up calls. The results included 29 minutes of time saved per benefit verification call, 20 minutes saved per prior authorization status call, a 314% year-over-year increase in benefit investigations completed, and a 98% success rate for benefit verifications, all without added staffing or technology.