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The whole infusion journey — one intelligent thread

Paper in. Payment accelerated. And everything in between.

One intelligent platform for safer treatments, more productive infusion operations, and cleaner reimbursement. MemberCare connects referral intake, benefits verification, authorization, protocol-driven scheduling, treatment safeguards, patient monitoring, and charge capture — so fewer details fall between systems and fewer problems reach the infusion chair.

Referral fax · PDF · portal
Packet read every page
Auth ready letter drafted
Chair booked right chair, right time
Infused safety-gated
Watched between visits
Charge capture J-codes · JW/JZ
Payment cleaner claims, faster

swipe to follow the journey

What changes on the floor

The packet reads itself.

Every page of the referral — extracted into the chart, eligibility checked against available payer information. Reduce re-entry and catch missing information earlier.

Every infusion day, planned intelligently.

Protocol, chair, and staffing intelligence in one schedule — the right chair at the right time, reasons shown, and at-risk visits caught 14, 7, and 2 days out.

Safety gates catch risks before treatment.

Dose ceilings, sequencing rules, and reaction holds fire automatically — helping prevent an unsafe step from advancing, with your team alerted first.

Cleaner charge capture, before submission.

J-code units, JW/JZ waste, registry and coverage checks — potential denial triggers identified before the claim leaves the building.

Supports the therapies you manage

Infusion — chemo · anti-amyloid · biologics CAR-T — readiness · coordination · monitoring Oral oncolytics — longitudinal management

Why the work feels lighter

Carry less. Care more.

Chair, nurse, protocol, and payer logic — the thousand details your team holds in their heads today, held by the platform instead. That is the whole design goal.

Protocol Intelligence

  • The regimen becomes a living calendar — every cycle, dose, lab, and premed on the right day.
  • Holds route to humans — every pause lands with your team, with the reason and the next step attached.
  • Engagement runs on the protocol clock — education, reminders, and check-ins matched to the cycle day.

Chair + Nurse Intelligence

  • Right chair, right time — every visit planned protocol-natively, with the reasons shown.
  • The right nurse for every visit — matched on competency, continuity, availability, and treatment requirements.
  • Schedulers stay ahead of every hold — a built-in readiness worklist surfaces at-risk visits 14, 7, and 2 days in advance.

Revenue Intelligence

  • Charge capture follows the chair — units and waste recorded as given, not reconstructed at month-end.
  • Auth gaps flagged early — expirations surface before the chair, not after the denial.
  • AI drafts the medical-necessity letter — your team reviews, signs, and sends.

Questions that used to live in someone’s head

“Which chair can take an 8-hour first dose?”

Planned — with the reasons shown.

“Did the labs clear before cycle 4?”

Gated — the dose won’t advance until they do.

“Who’s their nurse on Thursday?”

Matched — competency, continuity, availability.

“Is the auth still good for dose 7?”

Flagged — weeks before the chair, not after the denial.

“How many units — and how much waste?”

Assembled — JW/JZ split, on the superbill.

Clinical excellence

  • Protocol-based safety gates
  • Lab, dose, and sequencing checks
  • Cycle-specific patient engagement
  • Human review and clinical governance

Financial excellence

  • Faster referral-to-treatment readiness
  • Earlier authorization-gap detection
  • Improved chair and nurse utilization
  • J-code and JW/JZ support with cleaner charge capture

The practical questions — answered up front

Your EHR stays the system of record

We assemble the supporting evidence; your existing billing workflow submits the claim.

Weeks, not a software project

Configuration, not code — your team’s workflows, not new ones.

Built for the audit

Time, attribution and evidence captured as work occurs — transparent, audit-supporting documentation.

Proof before commitment

A live-platform walkthrough, then a pilot with success measures agreed up front.

AI-enabled The platform remembers · watches · drafts · flags. Your team decides — every time.

Designed to work alongside your existing EHR, practice-management and revenue-cycle workflows.

See it carry the load.

A 20-minute walkthrough on the live platform — not slides. Bring us your most difficult referral or protocol and we’ll take it from intake and authorization through scheduling, treatment safeguards and charge capture.

Frequently Asked Questions

Common questions about protocol management, authorization and charge capture for infusion centers.

MemberCare deploys therapy-specific AI agents that monitor infusion patients between their scheduled appointments. Each agent is trained on the specific regimen the patient is receiving — whether chemotherapy, immunotherapy, monoclonal antibodies, or CAR-T — so it can assess reported symptoms in the context of expected side effects, timing, and severity for that particular therapy.

No. MemberCare complements your existing infusion operations software (scheduling, chair management, drug preparation). While operations software manages what happens during the infusion visit, MemberCare manages what happens between visits — symptom monitoring, prior authorization, protocol compliance, and RPM billing. The two systems work together to provide complete infusion patient care.

MemberCare's Prior Authorization Expert AI agent drafts prior-authorization requests for your team's review and submission — assembling drug-specific payer requirements and supporting clinical documentation, tracking approval status, and preparing denial appeal drafts. This reduces the administrative burden that delays treatment initiation and consumes staff time.

Yes. MemberCare's multi-tenant architecture enables infusion centers to extend monitoring capabilities to their referring practices. Referring oncologists, neurologists, and rheumatologists can use the same platform to monitor their patients' symptoms between infusion visits, creating a coordinated care network with the infusion center at the hub.

Ready to Transform Your Infusion Center?

See how protocol intelligence extends your care team's reach to every patient, between every infusion.

Or call us: 214.226.5319