AGI.do

Processes

What will AGI do for Perform Mail order pharmacy with members?

A health plan member or their prescribing provider submits a new prescription or refill request to the mail-order pharmacy service.

Trigger
A health plan member or their prescribing provider submits a new prescription or refill request to the mail-order pharmacy service.
Outcome
The medication is accurately dispensed, the claim is adjudicated, and the package is successfully delivered to the member.

The work itself

Grounded Work Profile

Measured by

  • Order Turnaround TimeprocessProfile
  • Dispensing Accuracy RateprocessProfile
  • Cost Per Mail Order PrescriptionprocessProfile
  • Mail Order Utilization RateprocessProfile

Key steps

  • Receive prescription order and intake member detailsprocessProfile
  • Verify member eligibility and pharmacy benefit coverageprocessProfile
  • Perform clinical review and drug utilization checksprocessProfile
  • Adjudicate the pharmacy claim and calculate member copayprocessProfile
  • Dispense and safely package the medicationprocessProfile
  • Ship the medication and notify the member with tracking detailsprocessProfile

How AGI delivers it

Four ways AGI delivers for Perform Mail order pharmacy with members

  • Services-as-Software

    Get the professional outcome delivered as software, priced on results, not headcount.

    Services.do

  • Autonomous Agents as digital employees

    Hire a digital employee that does the job under earned, supervised autonomy.

    Agents.do

  • Business-as-Code

    Encode how your work runs, once, as software that executes itself.

    Platform.do

Value flow

How Perform Mail order pharmacy with members connects

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