We built this for Capital Rx
This isn't a slide deck. It's a working AI agent that handles member questions about prescription coverage, copays, prior authorizations, mail-order pharmacy, and pharmacy network navigation -- using Capital Rx's services and terminology. Try it.
Try the chat agent
Ask about prescription coverage, copay tiers, prior authorization status, mail-order pharmacy setup, finding in-network pharmacies, or filing a reimbursement claim.
In production, the widget's appearance and behavior are fully customizable to match your brand.
What Lorikeet can deliver for Capital Rx
Built around real member scenarios -- coverage lookups, prior authorization navigation, mail-order setup, and pharmacy network support powered by the JUDI platform.
Coverage and copay lookup
Instant answers about formulary status, copay tier details, and out-of-pocket costs. Members get clarity without waiting on hold.
Prior authorization guidance
Walk members through PA requirements, submission process, review timelines, and appeal options when needed.
Mail-order pharmacy
Guide members through setting up mail order for maintenance medications, with pricing comparisons and auto-refill enrollment.
Pharmacy network finder
Help members locate in-network pharmacies, understand out-of-network costs, and navigate specialty pharmacy requirements.
Claims and reimbursement
Guide members through submitting out-of-network reimbursement claims with clear timelines and documentation requirements.
Transparent pass-through pricing
Explain Capital Rx's transparent pricing model, helping members understand exactly what they pay and why -- no hidden spreads or retained rebates.
From demo to production
This demo was built from public information. Here's what happens when you plug in real systems.
Connect your systems
Integrate with JUDI, member databases, pharmacy networks, and your claims adjudication pipeline.
Refine the workflows
Adjust coverage lookup, PA handling, formulary exception processes, and escalation paths to match your SOPs.
Test with simulations
Run hundreds of simulated member conversations across coverage, prior auth, and pharmacy scenarios to validate accuracy.
Go live
Deploy across chat, voice, and SMS. Monitor quality scores and iterate in real time.
Ready to explore?
This sandbox is yours. Log in to see the workflows, knowledge base, and guardrails behind this demo -- or connect with our team to talk production.