Agentic AI for patient access & safety

Your hub team stops working the phone. It starts working the exception.

Pharma Collab AI runs benefit verification, prior authorization, REMS outreach and pharmacovigilance intake end to end — voice agents that call the payer, packets assembled from the source, and a 21 CFR Part 11 audit trail on every action.

HIPAA · 21 CFR Part 11 · Zero data retention on model calls

Hours back from your most experienced people

The agent sits the payer hold, reads the referral and re-keys nothing. Coordinators spend their day on judgment calls, not on IVR trees.

Faster time to therapy

Benefit verification and authorization run the moment a referral lands — not when someone reaches the top of the queue.

Audit-ready by construction

Hash-chained audit trail, bound e-signatures, PHI access logging and validation evidence produced on every release.

What we built

Six agents, one compliance spine

Each agent owns a specialty workflow. All of them write to the same evidence trail, so operations and quality read the same record.

Coverage voice agent

Calls the payer, works the hold and the IVR, verifies benefits and captures prior-authorization criteria live on the call.

Prior authorization

Assembles a submission-ready packet from what the call and the chart produced — codes, plan, prescriber, clinicals.

REMS outreach

Tracks the compliance window, reaches the patient, and evidences every check-in against the program requirement.

Patient journey

One record of where each patient is — referral, coverage, copay, first dose — and what the next step is.

Copay & assistance

Runs enrollment and affordability paths in parallel with coverage so cost is not the reason a start slips.

Pharmacovigilance

Adverse-event intake, seriousness triage, MedDRA coding and Day-0 readiness from fax, email or portal sources.

How it works

Referral in, worked case out

The same four steps run behind every workflow — and every one of them leaves evidence.

01

Intake

Fax, portal, email or handwritten referral is read and structured — OCR plus clinical summarization, no re-keying.

02

Verify & authorize

The agent verifies benefits (EDI where the payer supports it, a live call where it does not) and captures PA criteria.

03

Act

Packets, outreach and enrollments are prepared and queued. A coordinator approves anything that carries regulatory weight.

04

Evidence

Every touch is time-stamped, attributed and hash-chained — inspection prep becomes a query instead of a project.

Compliance

Regulated work needs regulated software

This was the starting requirement, not a later release.

21 CFR Part 11

Hash-chained audit trail, bound electronic signatures.

HIPAA

PHI access logging and least-privilege tenant isolation.

IQ / OQ / PQ

Validation evidence generated on every release.

Human-in-the-loop

The agent proposes; a qualified person approves.

Walk it end to end in ten minutes.

The demo runs on sample patients inside a dedicated workspace — a coverage call, an authorization packet and a safety intake, start to finish. Nothing you click is saved.