UBC Pharma AI Suite

Workflow 01 · Patient Access — Nicole's team

Sarah — PA/BV Voice Agent

Prior Authorization & Benefit Verification AI Agent

Sarah calls the payer on behalf of the hub coordinator
Verifies patient deductible, out-of-pocket max, and PA criteria for the specific drug + payer
Handles off-script questions gracefully — redirects back to topic, does not hallucinate
After 2–3 off-topic attempts, transfers to a human agent
Medical emergency trigger (chest pain, difficulty breathing, etc.) — immediately transfers to a live agent
All data written to D365 after the call. Zero data retention on PHI.

Specificity

Transparency

Compliance

Hub Services AI Demo