Practical AI for Rheumatology

What we hear

• Prior Authorizations & Benefits Investigation
• Referral Management on Autopilot

How it works

1. Step

   Prior Authorizations & Benefits Investigation

   Infusion drugs like Remicade, Actemra, and Orencia come with a heavy documentation load. Calvient automates prior auths and benefit investigations, learns from payer rules, and helps your staff generate case strategies using Practice Intelligence. You’ll reduce denials and cut turnaround time from script to poke—keeping patients on schedule and on therapy.

2. Step

   Referral Management on Autopilot

   Rheumatology referrals can be complex, requiring diagnosis validation, lab history, and insurance-specific requirements. Calvient’s AI Fax Inbox automates intake, flags missing data, and allows your staff to manage 35%+ more referrals with greater accuracy and speed.

3. Step

   Infusion Scheduling and Intake

   From coordinating in-office biologic infusions to managing specialty pharmacy pickups, Calvient helps ensure all documentation is complete, benefits are confirmed, and chair scheduling is optimized. Your patients get treated faster—with less work for your staff.

4. Step

   Medical Records & HIM Automation

   Rheumatology often requires extensive documentation for prior care, labs, imaging, and comorbidities. Calvient automates medical records requests, release workflows, and payer-required documentation processes—reducing back-and-forth and speeding up access to vital information.

Related problems ↔ solutions

• prior-authorizations → practice-orchestrator