Custom AI automations designed for the daily challenges specialty pharmacy managers face. Stop doing manually what AI can handle.
AI classifies each refill request against protocol, auto-approves routine refills with provider sign-off, and escalates anything requiring clinical judgment — nurse hours return to clinical work.
AI checks payer-specific PA requirements, pulls the chart from CareTend, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.
AI runs PDMP checks on every controlled-substance order, documents the check in CareTend, flags concerning patterns, and generates compliance reports — audit-ready, every prescription.
AI schedules infusions against chair capacity in CareTend, verifies drug stock and PA, and rebalances when patients reschedule — chair utilization climbs and patients stop waiting.
AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles.
AI sends the intake packet via CareTend, ingests responses, requests records from prior providers via HIE/fax, verifies insurance, and pre-populates the chart — patient arrives and the provider is ready.
AI triages incoming referrals by acuity, schedules them into open slots in CareTend, and chases outgoing referral loop closure with consulting providers — no referral gets lost.
AI sends personalized, channel-optimized reminders (SMS/email/voice) per patient preference, offers reschedule slots, and fills openings from the recall list — no-show rate drops to under 6%.
These are just examples. If you're a specialty pharmacy manager with a repetitive process that's eating your time, we can probably automate it.
