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Grade DproductionSource date Sep 18, 2025· Last verified Oct 17, 2026

How do specialty pharmacies use voice AI agents for benefit verification calls?

Unnamed leading specialty pharmacy · Pharma, Biotech & Life Sciences

Header image: A clinician working at a computer beside a stethoscope

Infinitus says its voice AI agents completed over 60,000 benefit-verification and prior-authorization follow-up tasks for an unnamed leading specialty pharmacy in the first half of 2025, with each verification call freeing an average of 29 minutes of staff time. The pharmacy is not named, so this is graded D.

Grade D: anonymous, community, or concept-stage evidence. Shown for completeness and excluded from “proven” filters.

Reported outcomes

tasks completed
over 60,000 tasks in H1 2025
Source [1] · self-reported
staff time
average of 29 minutes unlocked per benefit verification call
Source [1] · self-reported

Outcomes are reported exactly as stated by the source; we have not independently audited them.

How it works

  1. Agent places outbound calls to payers and navigates IVRs and hold queues.
  2. Collects benefits, eligibility, and prior-authorization status.
  3. Returns structured results to pharmacy staff; exceptions go to humans.

Risks & compliance

  • PHI on every call
  • Accuracy of captured benefit details

Healthcare cases cover operational and commercial workflows. Nothing here is medical advice or a claim about a device's or drug's efficacy.

Casefile: MedTech angle

Durable medical equipment and device reimbursement teams make the same payer calls.

Build this yourself

Tools mentioned & how to build it

Disclosure: Some links may earn us a commission; it never affects grades. Tools are listed by fit to this case, never by payment.

Tools mentioned

  • Infinitus (Infinitus Systems)
    Voice AI for benefit verification and payer calls.

Build a version yourself

  • Retell AI
    Build and deploy phone agents for scheduling, intake and call routing.
  • Make
    Visual no-code automation with AI agents; good for intake, routing and follow-up flows.
  • ElevenLabs
    Voice models and a conversational-agent platform behind many voice agents.

All tools by category →

Sources

[1]Infinitus Systems· vendor blog· Sep 18, 2025
“Infinitus performed over 60,000 such tasks for the specialty pharmacy during the first half of 2025 alone”
Infinitus and IBM Consulting partner to bring agentic AI into healthcare entities at scale

Grade rationale: Customer is anonymous; vendor blog. Automated check on Oct 17, 2026: 1/1 quotes and 2/2 outcome claims matched the source. Compiled by the Agent Casefile research desk (AI-assisted; see methodology). Spot an error? Request a correction.

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