Einstein Generative AI for Pharmacy Benefits Verification

Timely care and communication are crucial in a patient’s healthcare journey. Life Sciences Cloud’s embedded generative AI capabilities help reps to summarize pharmacy benefits faster and easily generate a concise summary that can be easily shared with a single click. Alleviate information search for the list of coverage fields and identify the missing coverage details with an AI-powered call script. Use our built-in prompt templates to improve efficiency, accuracy, and communication in the verification journey, leading to better outcomes.

Warning This tool uses generative AI, which can produce inaccurate or harmful responses. Before using, review the output for accuracy and safety. You assume responsibility for how the outcomes of Einstein are applied to your organization.

• Turn On Einstein for Patient Support Program
  Give your patient services reps access to the Einstein generative AI by turning on Einstein for patient support programs.
• Context Definition Understanding and Enablement
  Pharmacy Benefits Verification uses Einstein’s generative AI to generate a benefits summary and a call script summary. These summaries are generated through an auto-launched flow, which uses context service to fetch the data. Before context service fetches the data, you must turn on context definition.
• Workflow of Call Script and Pharmacy Benefits Summary
  Pharmacy Benefits Verification includes two flows that use Einstein Generative AI to generate a call script and a pharmacy benefits summary. Understand the process by using Flow Builder, Context Services, Prompt Template, and Embedded AI. Learn how these capabilities work together, the key steps in benefits summary and script generation, and the prerequisites before making any customizations.