Benefit Verification, Automated.
Eligibility, copay, and formulary status confirmed on every prescription, automatically.
Your PA Tech gets the benefit confirmation, not the hold music.
What Benefit Verification Looks Like Today
For every prescription that needs a benefit check, someone on your team works through this manually.
Five steps. Eight to twelve minutes on hold. Every time.
Manual Process
Current workflow
Automated Process
With Prior Auth Pro
Staff identifies insurance and PBM
Prescription is detected automatically
Calls payer and navigates IVR
Payer and PBM identified instantly
Waits on hold
⏱️ 8-12 minutes average
Verification handled in the background
⚡ Instant processing
Confirms eligibility with a rep
Eligibility confirmed in real time
Writes down coverage details
Copay and formulary retrieved together
Checks copay and formulary
Full summary logged inside PMS
Re-enters everything into PMS
Exceptions flagged with context
Flags issues separately
20+ minutes
Per verification
30 seconds
Per verification
Every benefit verification call your PA Tech handles today, the agent handles automatically.
When an issue is found, your PA Tech gets the full benefit summary with the exception already flagged.
What You Get Back
20 min
Saved per verification
At 80 to 160 verifications per day, that recovers entire staff shifts.
70%
Of your PA Tech's day, given back
The majority of their time goes to routine calls with no exceptions. Automate those and they focus entirely on cases that require clinical judgment.
$26,400
Saved per month on verification costs
Based on 120 verifications per day at $10 saved per transaction versus manual processing. Scales with your volume.
2x
More prescriptions filled at the counter
Confirming copay before pickup eliminates the cost-share surprise that drives one in four patients to walk away.
Source basis: NCPA Digest pharmacy operations data, JMCP pharmacy benefit research, CMS PBM transaction benchmarks, ASHP workforce studies. Assumes a mid-size retail pharmacy processing 200 to 400 prescriptions per day, with 30 to 40 percent requiring active benefit verification.
Pay Only for What the Agent Does.
No seat fees. No monthly minimums. You pay per verification completed. If volume drops, your cost drops.
What You Pay:
Per Verification Only
Pay only when we complete a verification
Scales With Volume
High-volume months cost more, slow months cost less
Add More Agents
Deploy additional agents as your needs grow
See this in Action
Experience the voice agent in real-time. Watch as patient information is extracted from voice calls and automatically populated into your PMS.
More Agents. Same Platform.
The Benefit Verification Agent is one of several pharmacy workflow agents on the platform. Each handles a distinct, high-volume task and can be deployed independently or together.
Benefit Verification Agent
Confirms eligibility, copay, and formulary status on every prescription automatically.
Refill and Pickup Reminder Agent
Sends refill due alerts, pickup ready notifications, and missed pickup follow-ups.
Prior Authorization Agent
Submits PA requests, tracks payer approval status, and escalates when timelines are exceeded.
Billing and Claims Agent
Follows up on claim status, denials, and payment issues without staff intervention.
Medication Adherence Agent
Sends dose reminders and care plan follow-ups to improve patient adherence outcomes.
Prescriber Coordination Agent
Handles outbound communication to ordering providers for PA support and care updates.
Frequently Asked Questions
No. It removes the routine verification calls that consume most of their day. Your PA Tech shifts to reviewing flagged exceptions with the full benefit summary already prepared.
Ready to Transform Your Pharmacy?
Join hundreds of pharmacies already saving time and money with automated benefit verification.