The Challenge
Every regimen needs prior auth
Infusion and oral oncolytics are authorized drug by drug, cycle by cycle.
Regimen changes restart the clock
A dose adjustment or line change sends the whole request back to the payer.
Buy-and-bill exposure
High-cost drugs are purchased before the claim is confirmed, so one denial is a real loss.
Benefits checks take days
Specialty pharmacy and medical benefit both have to be verified before the first infusion.
Denials arrive after treatment
Appeals need clinical notes and pathway documentation your staff has to assemble by hand.
Capabilities
Works inside your systems
Healthflo operates the software the way your staff does, integrating via APIs and agentic browsing.
Completes tasks autonomously
Escalates only what matters to your team, autonomously completes the rest.
Customized to how you operate
Every organization's admin is different, no changing internal processes.
How it works
01
Demo.
Your workflows, customized from the Healthflo marketplace.
02
Configure & Train.
Your EHR, your clearinghouse, your accounting system, your rules.
03
Go Live.
Your processes on autopilot, with a human in the loop.
Security
- HIPAA Compliant
- Signed BAA
- Access logged
- Encrypted at rest and in transit
- No clinical workflows