Loading
Table of Contents
Filter by (0)Add
Select Filters

          No results
          No results
          Here are some search tips

          Check the spelling of your keywords.
          Use more general search terms.
          Select fewer filters to broaden your search.

            Search all of Salesforce Help
            Search all of Salesforce Help
            Use Pharmacy Benefits Reverification

            You are here:

            1. Salesforce Help
            2. Docs
            3. Agentforce Life Sciences

            Use Pharmacy Benefits Reverification

            Pharmacy Benefits Reverification checks a patient's eligibility for pharmacy benefits, ensuring continuous and correct coverage for their medications. The process helps insurance providers save time and resources by streamlining the reconfirmation of pharmacy benefits for patients in care programs. Reverifying benefits controls costs for both providers and patients by confirming that coverage is necessary and used correctly.

            Required Editions

            Available in: Lightning Experience
            Available in: Enterprise and Unlimited Editions with the Health Cloud or Life Sciences Cloud license. It's also available with these add-on licenses: Agentforce for Life Sciences Cloud or Agentforce for Health Cloud, Flex Credits Metering, Agentforce Employee Agent, Einstein GPT Platform, Einstein GPT Copilot, Einstein GPT Trust, Genie Data Platform Starter, and Einstein GPT Prompt Builder.

            Automating the entire pharmacy benefits reverification process reduces manual work for patient services reps and accelerates the process. This automation makes the reverification process more cost-efficient and less prone to errors, which ensures that patients can access all of their benefits in a timely manner.

            • Generate Benefits Reverification Requests
              Program leads can use a screen flow to initiate a pharmacy benefits reverification request. The flow collects important reverification information and generates a list of new benefits verification records. Patient services reps can use the shared list or the records assigned to them to reverify the pharmacy benefits of care program enrollees.
            • How Reverification Automation Works
              Pharmacy benefits reverification automation saves time and resources of pharmaceutical companies by streamlining patient benefit updates. Automation helps control expenses and prevent fraud for both providers and patients, so that continuous, accurate, and cost-effective pharmacy benefits are provided through electronic and manual verification processes.
            • Explore Various Scenarios in Reverification Automation
              Discover the various scenarios that can occur within each step of the orchestrator, along with next step.
             
            Loading
            Salesforce Help | Article