We are the Healthcare Technology People
At Integrated Informatics, we are redefining how healthcare technology enhances patient access, provider efficiency, and payer operations. With 25+ years of expertise, we develop innovative, AI-driven solutions that streamline processes, reduce friction, and improve outcomes. From pharmacy claims processing and real-time benefit verification to AI-assisted prior authorization automation, our technology empowers providers, payers, and pharma to work smarter, faster, and more efficiently.
At our core, we believe that better technology leads to better care. That’s why we combine deep industry expertise with cutting-edge innovation to build solutions that drive results—helping healthcare organizations operate with greater speed, accuracy, and confidence.
Discover Our Innovative Products
AIPAS
Prior Authorization for Prescriptions
AIPAS is solution for prior authorization process for prescription medications. AIPAS helps pharmacies, healthcare providers, and importantly, patients. AIPAS ensures compliance, reduces administrative burdens, and accelerates patient access to necessary treatments.
- Our prior authorization automation solution offers communication between payers and providers making use of AI and NCPDP protocol.
- We connect with the EHR* to get the information about the patient, drug, and payer, and create a draft request to be reviewed before sending.
- We also handle appeals* for claims that have been denied as well as requests for additional information.
*Work in progress
AIPAS for PBM
PBM Policy to Questionnaire
- Generates question sets based on policies (AI + Human)
- Generates decision trees and stores them in Visio compatible formats (AI + Human)
- Receives NCPDP PA Requests and adjudicates them validating answers against decision tree
- Accepted
- Denied
- More Info
- Human Review
Eligibility Verification
Pharmacy Benefits
Given patient demographics (patient name, sex, DOB, address) and pharmacy NPI, we discover the BIN, PCN, Group ID and Member ID for prescription drug coverage.
Eligibility Verification
Medical Benefits
Given patient, payer, and provider information, we verify whether the plan is valid and return the types of benefits and the amounts for each benefit included in the plan such as copays and out of pocket amounts (maximum and remaining).
We also can determine costs and reimbursement amounts for services under Medicare.
Bounce
Pharmacy Claims Processing
Bounce is an advanced pharmacy claims processor that efficiently receives and adjudicates claims from pharmacies. Utilizing rule-based plans, it processes paid claims, reversals, and U&C claims with precision. Its flexible plan design supports specific drug pricing models, including NADAC-based pricing, AWP-based pricing, and other tailored pricing structures.
Bounce+
Pharmacy Claims Processing
Bounce+ is a coordination of benefits processor designed for OCC0, OCC3, and OCC8 claims. It provides copay assistance to patients while enhancing market access for pharmaceutical companies. Its flexible plan design accommodates drug pricing, copay structures, refill limits, and refill intervals to optimize patient support and reimbursement efficiency.
AffordableMeds
Drug Discount Card
Our AffordableMeds Drug Discount Card helps patients to get prescription medications at affordable prices.
- Cards distributed by affiliates who get commissions for eligible claims
- Available at a wide variety of retail pharmacies
- Drug price lookup tool to compare prices
- More information available at affordablemeds.org
Real Time Benefit Verification
Pharmacy Benefits
Given patient demographics (patient name, sex, DOB, address), insurance (BIN, PCN, Group ID, Member ID), provider (Name and NPI), drug (NDC, qty dispensed) and pharmacy NPI, we return whether the drug is covered or not, whether or not prior authorization is required, and how much would be the patient copay.
We provide a JSON interface.
GPICS
Determine whether Insurance is Government or Commercial
Given a set of insurance credentials (BIN, PCN, Group ID), we can return the kind of insurance plan is given by those credentials (government or commercial plan)
Patient Journey
Onboarding Automation
- Verify patient insurance (medical as well as pharmacy)
- Verify insurance coverage information
- Verify prior auth requirements and obtain prior authorization
- Obtain patient copay amount
- Verify patient income
- Verify patient’s dependents
- Suggest patient assistance programs
Journey After Prescription
Adherence
- System that uses apps for both patients and caregivers to remind patients to take their medications on time
- Caregivers record videos and set up the alerts to remind patients to take their meds as prescribed
- Shows pictures of the medication to avoid confusion about which medication to take
- Can also record instructional videos Sends alerts to caregiver if patient not taking meds or not purchasing refills
Our Global Team
Manoj Mehta
Head of TechnologyVenki Nari
Software Develepment Project Leader