Plenful Unveils AI Suite to Automate Intake and Prior Authorization, Accelerating Patient Care and Slashing Admin Work by 75%

Already creating impact across top organizations like BioMatrix Specialty Infusion Pharmacy and Renown Health, Plenful's suite streamlines the entire intake authorization workflow from end-to-end across therapies billed under the pharmacy or medical benefit, unlocking 4x capacity to deliver faster patient care.

SAN FRANCISCO, Sept. 11, 2025 /PRNewswire/ -- Plenful, the leading AI workflow automation platform modernizing healthcare, today announced its Intake Authorization Management Suite. Built to end fragmented pharmacy operations workflow across therapies billed under the pharmacy or medical benefit, this first-of-its-kind solution spans patient intake to prior authorization, claim reconciliation, slashing patient delays and unlocking 4x capacity for care teams across top enterprise healthcare organizations.

Plenful's Intake Authorization Management Suite is powered by cutting-edge, pharmacy-specialized large language models (LLMs) – AI models fine-tuned to healthcare workflows and capable of deep reasoning over complex clinical, claims, and benefit data. These models not only read documents, they understand them, automatically filling out the most complicated prior authorization forms, surfacing missing information, and flagging payor-specific requirements before they become denials. Combined with Plenful's highly configurable workflow engine, the result is a system that continuously learns, adapts, and drives measurable operational efficiency for healthcare teams.

The suite takes aim at one of healthcare's most broken and burdensome processes: securing authorization to provide patients access to critical medications, therapies, and procedures. While modern medicine innovates, healthcare's back office workflows are still stuck in the past, heavily weighed down by faxes, spreadsheets, and endless back-and-forth. Plenful replaces that chaos with intelligent automation purpose-built for healthcare, unlocking 75% time savings. Enterprise care teams are already seeing the benefits: faster decisions, less friction, and a future where prior authorization isn't a bottleneck or cost center, it's a strategic advantage.

"Too often, we hear stories of patients waiting days, even weeks, for life-changing therapies simply because the prior authorization process is stuck in a black hole of paperwork," said Joy Liu, Founder and CEO of Plenful. "Healthcare teams are chasing faxes, toggling between systems, and manually rekeying data while the clock ticks for their patient. Our Intake Authorization Suite moves healthcare's back office into a modern era of AI-powered speed and precision."

Addressing a Fundamental Shift in Comprehensive Care Coordination
Retail, mail-order, long-term care, and specialty pharmacies dispensed about $265 billion in specialty drugs in 2024, an 8% increase over the prior year. This growth reflects a broader shift in the sector, with specialty pharmacies taking on expanded care coordination responsibilities, including benefit verification, formulary optimization, prior authorization, patient assistance, and clinical assessment. This trend exists as healthcare administrative costs grow to comprise up to 25% of total US healthcare spend (north of $1 trillion annually).

With reimbursement rates staying flat despite these added responsibilities, health systems and independent specialty pharmacies need better strategies to deliver smart, scalable, and patient-focused operations to stand out and stay afloat. Most teams still rely on manual processes that have not modernized since the late 1990s. A day in the life often looks like hours spent sifting through disparate systems and files to uncover the patient information they need to process a prior auth form, holding their breath for a potential denial that only extends the patient's time to therapy.

AI-Powered End-to-End Automation
Plenful's Intake Authorization Management Suite is powered by state-of-the-art, pharmacy-specialized LLMs, fine-tuned for the eccentricities of healthcare. These models combine deep clinical reasoning, payor-specific intelligence, and real-time decision-making, transforming intake, benefits verification, prior auth, and claim reconciliation into a single, seamless workflow.

Instead of siloed, manual steps, Plenful orchestrates the entire process autonomously. The models mirror existing healthcare workflows, but learn and adapt over time to enhance how organizations work. Meaning every recommendation, every form fill, and every task alert feels familiar…but significantly faster, more accurate, and always improving.

"Plenful comes from pharmacy operations - they just get it," said Adam Porath, vice president of pharmacy at Renown Health. "Their AI platform has given us the scalable infrastructure we need to handle increasing medication volumes without proportionally increasing our staffing costs. We've been able to streamline our order referral workflows, reduce processing times, and dedicate more time and care to our in-need patient population."

Key capabilities of the Intake Authorization suite include:

• Automated intake processing across therapies billed under the pharmacy or medical benefit. Plenful's platform ingests data across all file types, including messy faxed documents and flat files, with integrations to connect disparate data across EHRs, Pharmacy Management Systems, ePAs, and other electronic data sources
• Intelligent benefits verification with real-time eligibility checks and the ability to surface plan rules, to inform prior authorization requirements
• Streamlined prior authorization leveraging LLMs to populate PA forms, coordinate and automate submission, and monitor approval status
• Comprehensive claim reconciliation with automated follow-up and resolution workflows to identify financial opportunities and optimizations
• Executive dashboards providing 360 centralized, real-time visibility into operational metrics, approval rates, and team capacity trends, fully customizable to the organization's priority metrics

Proven Results at Scale
Enterprise healthcare organizations, such as Renown Health and BioMatrix Specialty Infusion Pharmacy, have adopted Plenful's authorization management capabilities with remarkable operational improvements. Across the board, organizations are increasing capacity by 4x without adding headcount and reducing overall time to process a patient by 75%. This efficiency gain means less burnout, faster care, and better margins.

"Plenful's solution has been business critical for us," said Lee Curbow, chief technology officer at BioMatrix. "Since partnering with Plenful, our team's capacity has grown 4x, allowing us to focus on patient care instead of drowning in paperwork. We've continued to expand our use of the platform this year and look forward to realizing even more operational efficiencies, which will directly translate to improved margins and our ability to serve more patients effectively. Plenful isn't just another tech vendor trying to 'disrupt' with shiny AI tech; they understand what we deal with every day and have built something that actually uplevels our operations."

The Intake Authorization Management Suite is the latest in Plenful's continued market momentum. Coming on the heels of its latest funding announcement, Plenful is proud to work with nearly 100 leading U.S. healthcare organizations, demonstrating Plenful's evolution from delivering individual automation solutions to providing comprehensive workflow transformation, positioning the company as the leading agentic platform for healthcare operational excellence.

Visit Plenful.com to learn more and request a personalized platform demo.

About Plenful
Plenful is the leading AI workflow automation platform transforming how healthcare teams work. Built to empower care teams and the patients they serve, Plenful enables enterprise healthcare organizations to scale operations with speed, precision, and intelligence. By combining deep human expertise with purpose-built AI, Plenful automates complex workflows to eliminate inefficiencies, enhance compliance, and unlock critical revenue. Partnering with leading health systems, pharmacies, provider groups, and other large healthcare organizations, Plenful powers smarter, faster, and more affordable healthcare operations. To learn more, visit Plenful.com.

Media Contact:
Morgan Chaney
Head of Marketing
[email protected] 

SOURCE Plenful