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Ruma Care

Ruma Care

Ruma Care mengotomasi persetujuan awal (prior authorization) untuk klinik yang memberikan obat spesial mahal, mengurangi penolakan klaim sehingga klinik dibayar dan pasien mendapat perawatan lebih cepat.

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Ruma Care automates prior authorizations - we’re starting with clinics that administer the most expensive specialty medications.

Biologics are expensive medications that cost $80-$150K+ per year per patient, and often need to be administered in specific settings called infusion clinics. Medical providers buy these drugs up front to secure pricing deals and safer inventory - they are reimbursed for the cost of the medications through the patients’ insurance.

Because they’re so expensive, these specialty medications are denied by insurers at a rate of 37% each year. When they are denied, providers don’t get reimbursed for the medication and are left covering the costs. Ruma Care solves this so clinics get paid, patients get treated faster, and care teams spend less time fighting insurance.

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