Plenful, Inc.

Plenful is a San Francisco-based AI-powered workflow automation platform designed for the healthcare industry, especially pharmacies, health systems, and provider groups. Plenful enables healthcare teams to streamline messy, manual, and disparate administrative workflows, automating over 95% of the work involved in billing, authorizations, document processing, and more, typically onboarding in weeks rather than months.

Plenful's platform has been deployed across thousands of pharmacies and healthcare operations, including large health systems, specialty and infusion pharmacies, pediatric and provider groups, helping reduce administrative waste, ensure compliance, and unlock revenue opportunities.

Product & Service Line Breakdown:

1. 340B Audit & Missed Savings Automation
 - AI audits 100% of eligible transaction volume.
 - Identifies full scope of missed savings and referral opportunities in the 340B program for covered entities and pharmacies.

2. Prior Authorization & Intake Authorization Management
 - End-to-end automation of pharmacy prior authorization workflows, including form generation, submission tracking, and decision follow-up.
 - Improves throughput by up to 4× while minimizing manual administration.

3. Intelligent Document Processing
 - Converts unstructured content (PDFs, referral forms, intake documents) into structured data using ML.
 - Eliminates manual data entry across disparate file formats.

4. Pharmacy Revenue Cycle & Reporting
 - Complete claims auditing, Part D risk-adjustment workflows, revenue integrity rules, and crosswalk logic.
 - Enables deep insight into payment processes, optimization opportunities, and billing compliance.

5. Data Integration & Workflow Ingestion
 - Flexible ingestion from EHRs, HL7/FHIR feeds, APIs, SFTP, PDFs, CSVs, HL7 standards.
 - Customizable mapping, rules, and crosswalks built to configuration, can onboard new workflows within weeks.

6. AI & Machine Learning Engine
 - Context-aware ML models trained on healthcare operations data.
 - Smart decisioning, anomaly detection, revenue opportunity flagging, and intelligent automation rules tailored to healthcare workloads.

7. Scalable Use Case Deployment
 - Supports deployment across health systems, specialty pharmacy providers, and provider groups.
 - Automates processes at scale through reusable templates and customizable operational logic for different organizational types.