Infinitus Systems, Inc., the healthcare AI company that automates the collection of data traditionally gathered via manual phone calls, today announced an instantaneous, proprietary digital AI benefit verification solution for medical treatments covered by Medicare Part B.

Infinitus customers can now understand in seconds whether a patient is enrolled in Medicare Part B, whether a site of care or provider is in network, as well as product coverage and cost share information. Until now, pharma hubs, pharmaceutical manufacturers, and healthcare providers primarily accessed this data by manual research across multiple sources. With an aging population and more than 34.2 million Americans already enrolled in original Medicare, that means a lot of time has been spent on this time-consuming task. 

“At Infinitus, we understand the immense pressure healthcare providers are under, and any solution that can streamline their administrative tasks and free up their time to focus on patient care is a win-win. When you’re serving patients with chronic conditions, every second counts,” said Ankit Jain, CEO and co-founder of Infinitus Systems, Inc. “Our new Medicare Part B enrollment verification solution eliminates the need for manual lookups, providing instant and accurate information so providers can make informed decisions quickly.”

The Infinitus Medicare Part B solution is a full end-to-end offering, allowing users to understand all information they could need, including, if necessary, Medicare Beneficiary Identifiers (MBIs). Infinitus customers can access the solution via the Infinitus Customer Portal, and upload tasks via CSV or in bulk through our API. Data is then returned instantly to the customer or, if there is an associated drug prescription requiring Medicare Part D coverage, the task can be dynamically passed on to the Infinitus AI agent. The Infinitus AI agent then automates a phone call to the identified pharmacy benefit manager (PBM). The solution also identifies and flags occasions where a patient has a Medicare Advantage plan. 

In addition to partnerships with third-party data sources and direct access to Centers for Medicare & Medicaid Services (CMS) data, this solution is made possible by Infinitus’s proprietary knowledge graph. The Infinitus knowledge graph contains up-to-date intelligence on commercial and government payor rules and guidelines that have been gathered from the millions of phone calls completed to date by the Infinitus AI agent, plus access to EDI, payor APIs, and policy documents. 

“Many of the existing solutions on the market provided only piecemeal information regarding Medicare Part B. We heard from our customers that this wasn’t enough,” said Shyam Rajagopalan, CTO and co-founder of Infinitus. “We’re excited that we can now offer this holistic solution thanks in great part to our knowledge graph and ability to parse data from other sources, ensuring our customers can understand every aspect of eligibility and benefits for the patient and the product.”

Since its founding in 2019, Infinitus has automated benefit verification and prior authorization data collection for over 80,000 providers. The new Medicare Part B solution represents the first product that does not involve the automation of phone calls with AI, bringing the company’s goal of instantaneous healthcare ever closer.

“Our Medicare Part B offering is directly aligned with our goal of making healthcare ‘wait-less’ with the power of AI,” said Jain. “We are proud to lead the charge in harnessing AI technology to improve turnaround times in the patient experience, benefiting patients, providers and our ecosystem at large."