Intake Authorization Management

Purpose-built for infusion and specialty pharmacy operations, Plenful's AI solution streamlines fragmented intake, automates verification, and accelerates prior authorizations to reduce both patient delays and administrative burden.

Overcoming challenges

Use advanced AI to streamline the end-to-end intake authorization workflow, reducing manual admin time and increasing throughput by 4x.

Challenge #1

Manual, Fragmented Workflows from Disparate Systems Create Bottlenecks

Pharmacy teams manage a patchwork of point systems, including EMRs, fax tools, and payer portals, to collect, sort, and route referral orders and prescriptions. This manual effort increases the risk of errors and delays the start of benefits verification and prior authorization workflows. The result is a slow, resource-intensive intake process that limits capacity from the gate.

Our solution

Standardize Intake Authorization and Automate Data Capture from Various Systems

Plenful streamlines intake from EHRs, faxes, and third-party portals into a single, AI-powered workflow. Our platform automatically extracts, classifies, and routes referral data to eliminate manual sorting and reduce intake delays. By centralizing intake and structuring unstructured data, teams can move faster, reduce errors, and improve capacity by 4x with their existing FTEs.

Challenge #2

Prior Authorizations Require Complex, Manual Coordination

After intake, prior authorizations involve a series of disconnected steps, including eligibility checks, documentation review, form completion, and payor follow-ups. Teams often rely on email, spreadsheets, and EHR notes to move tasks forward, without a shared system to track ownership or progress. This lack of coordination creates confusion, slows approvals, and increases the risk of delays in patient care.

Our solution

Coordinate Prior Authorizations in a Centralized Task Environment

Plenful brings all PA-related tasks into a single workspace with built-in task queues, automated status tracking, and clear ownership. Our platform guides staff through documentation review, form completion, and payor submission using AI-powered pre-fill and workflow automation. With a single system of record and clear task ownership, teams reduce friction, stay accountable, and move faster.

Challenge #3

Lack of Visibility Disrupts Performance and Limits Scalability

As infusion orders/ speciality prescriptions rise, teams struggle to maintain throughput and visibility across the end-to-end process. There is little insight into turnaround times, denial patterns, or workload distribution. Without margin visibility or claim reconciliation, it’s hard to assess financial viability or spot revenue loss. Denials and appeals add even more manual work, requiring staff to track status and follow up without a centralized system. This lack of visibility makes it difficult to scale operations or improve performance.

Our solution

Gain Visibility Into Performance, Denials, and Reimbursement

Plenful provides end-to-end transparency across the entire intake authorization and reimbursement lifecycle. Our Executive 360 Dashboards surface insights on intake trends, turnaround times, denial rates, and workload distribution for specialty and infusion therapies. Built-in reconciliation tools compare reimbursements to contracted rates and flag discrepancies, giving teams the insight needed to improve revenue capture, reduce denials, and scale operations effectively.

Solutions

Your Team’s End-to-End Platform to Streamline Intake and Prior Authorization Workflows

Seamless Integration and Intelligent Intake Management

Plenful connects directly with EHRs, ePA networks, fax systems, and payor portals to unify fragmented intake processes. Referral data is automatically extracted, classified, and routed to eliminate manual sorting and reduce intake delays. With structured intake, teams can activate downstream workflows faster and increase efficiency without expanding their headcount.

Automate and Accelerate Prior Authorization Workflow

Plenful transforms the full PA lifecycle by standardizing intake, automating data capture, and guiding staff through documentation review, payor requirements, form completion, and submission. AI-powered tools pre-fill key fields, surface payor rules and forms, and provide clear, ongoing visibility into PA approval status to reduce friction, minimize delays, and improve patient access to treatment.

Full Visibility Across Performance, Denials, and Reimbursement

Plenful provides insight across the entire authorization and reimbursement process. Dashboards highlight turnaround times, denial trends, and workload distribution. Reconciliation tools compare payments against contracted rates and flag discrepancies. With transparent data and accountability, teams can improve outcomes, recover missed revenue, and scale more effectively.

“Integrating Plenful into our operations team’s workflow has unlocked our team’s potential by freeing them up to focus on more meaningful aspects of their work. Through complementing the systems we already use in our operations and utilizing Plenful’s intuitive automation platform, Plenful has been a seamless adoption process and we are excited about the direct value add of the platform."

Dr. Peter Chang, Vice President of Healthcare Design

Tampa General Hospital