Infinitus API - Implementation Template
Use Cases
Our API supports a variety of use cases, allowing clients to check patient eligibility, get details on a patient's healthcare plan, and check drug coverage status.
Use Case 1: Patient Eligibility Verification
Check for a patient's eligibility for a specific drug or medical service. This use case supports healthcare providers in understanding if a patient meets their health plan's requirements for the requested Pharmacy benefit.
Use Case 2: Patient Plan Design
Gain insights into the specifics of a patient's healthcare plan such as how much has the patient paid so far, and what the patient's financial responsibility is including details such as out of pocket costs and plan deductibles.
Use Case 3: Drug/Product Coverage
Verify the coverage status of a particular drug with specifics of NDC codses/dosages under a patient's health plan, including any associated limitations, co-insurance, or co-pay amounts.