Insurance Eligibility Verification for Specialty Pharmacy Managers with TherigySTM
The Problem
Front-desk eligibility checks for Specialty Pharmacy patients run manually against payer portals — patients show up with inactive coverage and the practice absorbs the write-off.
What We Build in TherigySTM
AI runs eligibility 72 hours before every appointment, flags inactive or changed coverage, and triggers patient outreach for new info — write-offs from bad eligibility drop 85%. Purpose-built for teams running TherigySTM — uses the native API or agent integration so nothing leaves the system of record.
TherigySTM Integration Approach
Audit your TherigySTM configuration
We map the specific TherigySTM objects, custom fields, and workflows the automation needs to touch for your specialty pharmacy practice.
Build on the TherigySTM API or agent
Integration happens inside TherigySTM — no data leaves the system, no parallel tool for your team to learn, no license changes.
Human-in-the-loop handoff
Every automation routes exceptions back to a human in TherigySTM with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your TherigySTM instance
30-minute call. We'll look at your actual TherigySTM setup and show exactly how this workflow fits.