The Product

    One system that orchestrates the entire patient journey.

    From finding the eligible patient to verifying benefits, securing prior authorization, and solving patient affordability. Avico's AI agents handle the work end-to-end, inside your EHR.

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    The Journey

    Benefits. Prior auth. Affordability.

    Three steps that clear the path to treatment. Each one hands off to the next automatically, so nothing sits in a queue waiting for someone to notice it.

    Step 1 · Verify Benefits

    Know coverage before the visit

    Coverage is confirmed for every visit, drug change, and plan-year reset. Eligibility and coordination-of-benefits issues are caught up front, before they turn into denials.

    • Catch eligibility and COB issues → prevent denials
    • Active coverage, deductible, and plan limits verified
    • Buy-and-bill vs. specialty pharmacy routing determined
    Step 2 · Prior Authorization

    Submit a complete case the first time

    Avico's payor intelligence platform knows what each plan requires. Avico assembles payor-specific criteria with chart evidence and submits through whichever channel the payor demands.

    • Step therapy and medical-necessity criteria applied per plan
    • Automatic submission via portal, fax, or phone
    • Clinical notes, imaging, labs, and relevant EHR data uploaded without staff intervention
    • Status tracked to decision, with appeals evidence ready
    Step 3 · Affordability

    Give patients cost transparency

    Patients see an accurate out-of-pocket estimate before treatment, and the patients who qualify for copay cards or foundation programs are flagged so your team can act while the window is still open.

    • Accurate patient responsibility calculated pre-visit, enabling upfront collections
    • Copay card and foundation eligibility screened automatically
    • Qualifying patients flagged for enrollment, with everything your team needs to complete it
    Why It Works

    Runs inside your EHR

    No uploading notes, no more payor portals for your staff. Avico integrates with the PM and EHR systems your team already uses.

    Mod MedNextechNextGenVeradigmAdvancedMD

    ...and more

    Proof

    The numbers speak for themselves

    2.3M

    Patient encounters handled

    94%

    Prior auth determinations obtained without practice staff

    91%

    Net prior auth approval rate

    15% above industry benchmark

    See the whole journey in action

    We'll walk through your own workflow and show you where patients are getting stuck.

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