Electronic Benefit Verification (eBV) for Specialty Pharma Brands

Improve accuracy and accelerate patient initiation through CareTria’s automated medical and pharmacy electronic benefit verification — eliminating manual calls, faxes, and follow-ups right within the provider’s existing workflow. Traditional benefit verification is one of the most time-consuming steps in the patient access process. Staff make calls, wait on hold, receive incomplete information, and then repeat the process when coverage details change. Every manual touchpoint is an opportunity for error, delay, and patient abandonment before therapy even begins.

It all begins with the Benefit Verification

CareTria Provider Connect’s electronic benefit verification automation changes that entirely. Integrated directly into the provider’s point-of-care workflow, our platform submits both medical and pharmacy benefit investigations simultaneously — returning results in 60 seconds or less for the majority of requests. No phone calls. No faxes. No chasing callbacks. Just accurate, drug-diagnosis-specific benefit information available at the moment a treatment decision is being made.

With support for 1,400+ payers and coverage across Rheumatology, Gastroenterology, Neurology, Ophthalmology, Orthopedics, Allergy & Asthma, Rare Diseases, and more, CareTria’s benefit verification platform is built for the complexity of specialty care. Plan-specific limitations, prior authorization requirements, and formulary details are surfaced automatically — giving providers the clarity they need to move forward with confidence before committing to a high-cost therapy.

Sponsoring your brand in the Provider Workflow

For manufacturers sponsoring the program, automated benefit verification translates directly into faster patient initiation, higher conversion rates, and a reduced administrative burden on the practices your brand depends on. For providers, it means less time on the phone and more time with patients. CareTria’s automated benefit verification is available at no cost to specialty healthcare practices through CareTria Provider Connect — the only platform on the market that handles benefit investigations for both medical and pharmacy benefits in a single login.