Transform Patient support with Trusted AI
Transform Patient support with Trusted AI
Transform Patient support with Trusted AI
Deploy AI agents across the complete patient journey—from enrollment and payer communication to therapy coordination and ongoing support. Streamline complex hub operations while delivering the personalized patient experiences that drive therapy success.
Complex Patient Programs. Intelligent Automation.
Complex Patient Programs. Intelligent Automation.
Life sciences patient programs involve complex enrollment workflows—benefit investigations, missing information collection, prior authorizations, and ongoing support coordination across multiple stakeholders. Manual processes create delays that impact patient access while overwhelming hub operations teams. Our AI agents automate these intricate workflows, accelerating patient enrollment and reducing administrative burden while ensuring every patient receives the comprehensive support needed for therapy success.
Benefits Verification
Automated verification of patient medical and pharmacy benefits across commercial and Medicare plans, gathering detailed coverage information including:
Plan details including deductible, out-of-pocket maximums, and plan type
Network status
Drug and admin coverage
Coordination of benefits
Prior authorization requirements
Specialty pharmacy requirements
Buy and bill availability
Local (MAC) and national product coverage for Medicare Part B
Prior Authorization
Automated payer outreach to determine if treatments require prior authorization and verify current approval status, collecting:
Prior auth requirements and criteria
Current approval or denial status
Approval details including duration and scope
Coordination of benefits
Specific denial reasons and codes
Appeal options and required documentation
Timeline for authorization decisions
Benefits Verification
Automated verification of patient medical and pharmacy benefits across commercial and Medicare plans, gathering detailed coverage information including:
Plan details including deductible, out-of-pocket maximums, and plan type
Network status
Drug and admin coverage
Coordination of benefits
Prior authorization requirements
Specialty pharmacy requirements
Buy and bill availability
Local (MAC) and national product coverage for Medicare Part B
Prior Authorization
Automated payer outreach to determine if treatments require prior authorization and verify current approval status, collecting:
Prior auth requirements and criteria
Current approval or denial status
Approval details including duration and scope
Coordination of benefits
Specific denial reasons and codes
Appeal options and required documentation
Timeline for authorization decisions
Formulary Exceptions
Automated payer communication to verify formulary exception submissions and current approval status, collecting:
Exception request status and processing timeline
Current formulary tier and coverage restrictions
Clinical criteria and documentation requirements
Denial reasons and specific payer codes
Appeal pathways and required documentation
Alternative therapy coverage options
Appeals
Real-time verification of appeal status for prior authorization and formulary exception denials, collecting:
Appeal status and processing timeline
Level of appeal (first-level, peer-to-peer, external review)
Approval outcomes and coverage details
Denial reasons and clinical rationale
Next available appeal options
Required clinical documentation and deadlines
Formulary Exceptions
Automated payer communication to verify formulary exception submissions and current approval status, collecting:
Exception request status and processing timeline
Current formulary tier and coverage restrictions
Clinical criteria and documentation requirements
Denial reasons and specific payer codes
Appeal pathways and required documentation
Alternative therapy coverage options
Appeals
Real-time verification of appeal status for prior authorization and formulary exception denials, collecting:
Appeal status and processing timeline
Level of appeal (first-level, peer-to-peer, external review)
Approval outcomes and coverage details
Denial reasons and clinical rationale
Next available appeal options
Required clinical documentation and deadlines
AI Agents for Every Life Sciences Workflow
AI Agents for Every Life Sciences Workflow
Any workflow you can describe, you can automate. Choose from one of our Agent blueprints or start with a blank canvas. Medchat·ai gives you the power to build AI agents for any patient support or operational workflow.
Patient Intake, Enrollment & Access
Patient Intake
Digitizing enrollment forms, extracting data, and populating systems to ensure accurate, efficient onboarding and faster therapy starts.
Patient Intake
Digitizing enrollment forms, extracting data, and populating systems to ensure accurate, efficient onboarding and faster therapy starts.
Patient Intake
Digitizing enrollment forms, extracting data, and populating systems to ensure accurate, efficient onboarding and faster therapy starts.
Welcome & Onboarding
Personalized welcome messaging and onboarding with program orientation, support resources, and automated enrollment for therapy and assistance programs.
Welcome & Onboarding
Personalized welcome messaging and onboarding with program orientation, support resources, and automated enrollment for therapy and assistance programs.
Welcome & Onboarding
Personalized welcome messaging and onboarding with program orientation, support resources, and automated enrollment for therapy and assistance programs.
Missing Information Collection
Automated outreach to collect incomplete enrollment forms, missing insurance documentation, and required clinical information to expedite program approval.
Missing Information Collection
Automated outreach to collect incomplete enrollment forms, missing insurance documentation, and required clinical information to expedite program approval.
Missing Information Collection
Automated outreach to collect incomplete enrollment forms, missing insurance documentation, and required clinical information to expedite program approval.
Affordability & Financial Support
Comprehensive PAP education and enrollment including eligibility guidance, application processing, copay assistance programs, and ongoing program management.
Affordability & Financial Support
Comprehensive PAP education and enrollment including eligibility guidance, application processing, copay assistance programs, and ongoing program management.
Affordability & Financial Support
Comprehensive PAP education and enrollment including eligibility guidance, application processing, copay assistance programs, and ongoing program management.
Patient Intake, Enrollment & Access
Patient Intake
Digitizing enrollment forms, extracting data, and populating systems to ensure accurate, efficient onboarding and faster therapy starts.
Welcome & Onboarding
Personalized welcome messaging and onboarding with program orientation, support resources, and automated enrollment for therapy and assistance programs.
Missing Information Collection
Automated outreach to collect incomplete enrollment forms, missing insurance documentation, and required clinical information to expedite program approval.
Affordability & Financial Support
Comprehensive PAP education and enrollment including eligibility guidance, application processing, copay assistance programs, and ongoing program management.
Patient Support & Care Coordination
Injection & Administration Training
Personalized self-administration training, technique reinforcement, and ongoing injection support for specialty injectable therapies.
Injection & Administration Training
Personalized self-administration training, technique reinforcement, and ongoing injection support for specialty injectable therapies.
Injection & Administration Training
Personalized self-administration training, technique reinforcement, and ongoing injection support for specialty injectable therapies.
Therapy Education & Resources
Personalized therapy education delivery including indication information, administration guidance, and expectation management for specialty treatments.
Therapy Education & Resources
Personalized therapy education delivery including indication information, administration guidance, and expectation management for specialty treatments.
Therapy Education & Resources
Personalized therapy education delivery including indication information, administration guidance, and expectation management for specialty treatments.
Side Effect Management & Escalation
Patient education on potential therapy-related side effects with automated escalation protocols to clinical teams when intervention is needed.
Side Effect Management & Escalation
Patient education on potential therapy-related side effects with automated escalation protocols to clinical teams when intervention is needed.
Side Effect Management & Escalation
Patient education on potential therapy-related side effects with automated escalation protocols to clinical teams when intervention is needed.
Refill & Medication Delivery
Automated coordination of ongoing medication refills, supply tracking, and delivery scheduling to ensure uninterrupted therapy access.
Refill & Medication Delivery
Automated coordination of ongoing medication refills, supply tracking, and delivery scheduling to ensure uninterrupted therapy access.
Refill & Medication Delivery
Automated coordination of ongoing medication refills, supply tracking, and delivery scheduling to ensure uninterrupted therapy access.
Adherence Monitoring & Support
Automated medication reminders, compliance tracking, and adherence support interventions throughout the patient treatment journey.
Adherence Monitoring & Support
Automated medication reminders, compliance tracking, and adherence support interventions throughout the patient treatment journey.
Adherence Monitoring & Support
Automated medication reminders, compliance tracking, and adherence support interventions throughout the patient treatment journey.
Patient Status Checks
Automated patient status verification including enrollment status, program eligibility, delivery, and therapy progression tracking for hub operations and patient inquiries.
Patient Status Checks
Automated patient status verification including enrollment status, program eligibility, delivery, and therapy progression tracking for hub operations and patient inquiries.
Patient Status Checks
Automated patient status verification including enrollment status, program eligibility, delivery, and therapy progression tracking for hub operations and patient inquiries.
Care Team Coordination
Coordinated scheduling and communication between patients, providers, and specialty pharmacies for comprehensive therapy management.
Care Team Coordination
Coordinated scheduling and communication between patients, providers, and specialty pharmacies for comprehensive therapy management.
Care Team Coordination
Coordinated scheduling and communication between patients, providers, and specialty pharmacies for comprehensive therapy management.
Specialty Pharmacy Coordination
Coordinated communication between hub operations, patients, and specialty pharmacies for medication fulfillment, shipping, and delivery management.
Specialty Pharmacy Coordination
Coordinated communication between hub operations, patients, and specialty pharmacies for medication fulfillment, shipping, and delivery management.
Specialty Pharmacy Coordination
Coordinated communication between hub operations, patients, and specialty pharmacies for medication fulfillment, shipping, and delivery management.
Adverse Event Capture & Reporting
Streamlined adverse event detection with appropriate escalation protocols.
Adverse Event Capture & Reporting
Streamlined adverse event detection with appropriate escalation protocols.
Adverse Event Capture & Reporting
Streamlined adverse event detection with appropriate escalation protocols.
Patient Experience & Reported Outcomes
Systematic collection of treatment effectiveness data, quality of life metrics, and therapy satisfaction feedback throughout patient journey.
Patient Experience & Reported Outcomes
Systematic collection of treatment effectiveness data, quality of life metrics, and therapy satisfaction feedback throughout patient journey.
Patient Experience & Reported Outcomes
Systematic collection of treatment effectiveness data, quality of life metrics, and therapy satisfaction feedback throughout patient journey.
Safety, Quality & Compliance
Automated distribution and collection of safety monitoring questionnaires, quality of life assessments, and treatment satisfaction surveys with systematic follow-up.
Safety, Quality & Compliance
Automated distribution and collection of safety monitoring questionnaires, quality of life assessments, and treatment satisfaction surveys with systematic follow-up.
Safety, Quality & Compliance
Automated distribution and collection of safety monitoring questionnaires, quality of life assessments, and treatment satisfaction surveys with systematic follow-up.
Reverification Outreach
Digital-first process to confirm and update patient insurance information during annual re-enrollment, ensuring uninterrupted therapy access.
Reverification Outreach
Digital-first process to confirm and update patient insurance information during annual re-enrollment, ensuring uninterrupted therapy access.
Reverification Outreach
Digital-first process to confirm and update patient insurance information during annual re-enrollment, ensuring uninterrupted therapy access.
Patient Support & Care Coordination
Injection & Administration Training
Personalized self-administration training, technique reinforcement, and ongoing injection support for specialty injectable therapies.
Therapy Education & Resources
Personalized therapy education delivery including indication information, administration guidance, and expectation management for specialty treatments.
Side Effect Management & Escalation
Patient education on potential therapy-related side effects with automated escalation protocols to clinical teams when intervention is needed.
Refill & Medication Delivery
Automated coordination of ongoing medication refills, supply tracking, and delivery scheduling to ensure uninterrupted therapy access.
Adherence Monitoring & Support
Automated medication reminders, compliance tracking, and adherence support interventions throughout the patient treatment journey.
Patient Status Checks
Automated patient status verification including enrollment status, program eligibility, delivery, and therapy progression tracking for hub operations and patient inquiries.
Care Team Coordination
Coordinated scheduling and communication between patients, providers, and specialty pharmacies for comprehensive therapy management.
Specialty Pharmacy Coordination
Coordinated communication between hub operations, patients, and specialty pharmacies for medication fulfillment, shipping, and delivery management.
Adverse Event Capture & Reporting
Streamlined adverse event detection with appropriate escalation protocols.
Patient Experience & Reported Outcomes
Systematic collection of treatment effectiveness data, quality of life metrics, and therapy satisfaction feedback throughout patient journey.
Safety, Quality & Compliance
Automated distribution and collection of safety monitoring questionnaires, quality of life assessments, and treatment satisfaction surveys with systematic follow-up.
Reverification Outreach
Digital-first process to confirm and update patient insurance information during annual re-enrollment, ensuring uninterrupted therapy access.
Healthcare Provider Support
HCP Enrollment
HCP submits prescription or enrollment form to hub, initiating patient’s access to therapy and support services.
HCP Enrollment
HCP submits prescription or enrollment form to hub, initiating patient’s access to therapy and support services.
HCP Enrollment
HCP submits prescription or enrollment form to hub, initiating patient’s access to therapy and support services.
Provider Education
Delivering resources on therapy guidelines, program processes, and prescribing patient support resources to healthcare providers treating patients with specialty therapies.
Provider Education
Delivering resources on therapy guidelines, program processes, and prescribing patient support resources to healthcare providers treating patients with specialty therapies.
Provider Education
Delivering resources on therapy guidelines, program processes, and prescribing patient support resources to healthcare providers treating patients with specialty therapies.
Missing Information Collection
Identifying and obtaining incomplete or missing data from providers to advance patient case enrollment and processing.
Missing Information Collection
Identifying and obtaining incomplete or missing data from providers to advance patient case enrollment and processing.
Missing Information Collection
Identifying and obtaining incomplete or missing data from providers to advance patient case enrollment and processing.
Provider Status Checks
Real-time insurance coverage verification and prior authorization status checks to support provider treatment planning and patient counseling.
Provider Status Checks
Real-time insurance coverage verification and prior authorization status checks to support provider treatment planning and patient counseling.
Provider Status Checks
Real-time insurance coverage verification and prior authorization status checks to support provider treatment planning and patient counseling.
Case Management
Supporting providers with required documentation, prior authorizations, and case tracking for timely therapy access.
Case Management
Supporting providers with required documentation, prior authorizations, and case tracking for timely therapy access.
Case Management
Supporting providers with required documentation, prior authorizations, and case tracking for timely therapy access.
Medical Information Requests
Automated processing and response to medical information inquiries from healthcare providers.
Medical Information Requests
Automated processing and response to medical information inquiries from healthcare providers.
Medical Information Requests
Automated processing and response to medical information inquiries from healthcare providers.
Live Chat with Case Manager Support
Offering providers instant, digital access to case managers for questions, escalations, or process guidance.
Live Chat with Case Manager Support
Offering providers instant, digital access to case managers for questions, escalations, or process guidance.
Live Chat with Case Manager Support
Offering providers instant, digital access to case managers for questions, escalations, or process guidance.
Patient Support Education
Equipping HCPs with tools and resources to guide patients on therapy, adherence, and available support programs.
Patient Support Education
Equipping HCPs with tools and resources to guide patients on therapy, adherence, and available support programs.
Patient Support Education
Equipping HCPs with tools and resources to guide patients on therapy, adherence, and available support programs.
Healthcare Provider Support
HCP Enrollment
HCP submits prescription or enrollment form to hub, initiating patient’s access to therapy and support services.
Provider Education
Delivering resources on therapy guidelines, program processes, and prescribing patient support resources to healthcare providers treating patients with specialty therapies.
Missing Information Collection
Identifying and obtaining incomplete or missing data from providers to advance patient case enrollment and processing.
Provider Status Checks
Real-time insurance coverage verification and prior authorization status checks to support provider treatment planning and patient counseling.
Case Management
Supporting providers with required documentation, prior authorizations, and case tracking for timely therapy access.
Medical Information Requests
Automated processing and response to medical information inquiries from healthcare providers.
Live Chat with Case Manager Support
Offering providers instant, digital access to case managers for questions, escalations, or process guidance.
Patient Support Education
Equipping HCPs with tools and resources to guide patients on therapy, adherence, and available support programs.
Built for Speed.
Built for Speed.
Built for Speed.
Designed for Scale.
Designed for Scale.
Designed for Scale.
Get up and running quickly with seamless integrations, rapid deployment, and the flexibility to scale across your entire life sciences portfolio.
Get up and running quickly with seamless integrations, rapid deployment, and the flexibility to scale across your entire life sciences portfolio.
Seamless System Integration
Connect with your existing life sciences technology stack through flexible integration methodologies. Our platform works with CRM systems, patient databases, and hub management platforms using APIs, FHIR, HL7, and more for complete workflow automation.
Rapid Value Realization
Experience meaningful results in weeks, not months or years. Our proven implementation methodology gets our AI agents deployed quickly, delivering immediate impact on patient enrollment, program efficiency, and operational outcomes from day one.
Built for Growth
Scale confidently across therapy areas, patient programs, and hub operations. Medchat·ai grows with your organization, maintaining performance and reliability whether you're automating one indication or transforming enterprise-wide life sciences operations.
Your
AI team awaits.
Deploy
AI Agents to support every job
with
human-like
precision
Your
AI team awaits.
Deploy
AI Agents to support every job
with
human-like
precision
Scale your team with AI
Scale your
team with AI
© Medchat, LLC 2025
Better patient experiences with Medchat·ai
hipaa
compliant
AICPA
SOC2
© Medchat, LLC 2025
Better patient experiences with Medchat·ai
hipaa
compliant
AICPA
SOC2
© Medchat, LLC 2025
hipaa
compliant
AICPA
SOC2
© Medchat, LLC 2025
Better patient experiences with Medchat·ai
hipaa
compliant
AICPA
SOC2
Automate Payer Communication
Automate Payer Communication
Our Voice AI Agents automate routine touchpoints with payers to gather critical patient access information in real-time.