Ruma Care is an AI-driven platform that automates the complex prior authorization process for specialty medications like biologics. Instead of your staff fighting with 70+ different insurance portals or outdated fax machines, Ruma extracts specific submission criteria and auto-fills the required forms. By learning from real-world denial patterns, the system helps clinics cut insurance rejection rates by 50%. It’s a specialized tool built to ensure patients get life-changing treatments weeks sooner while protecting clinic revenue.

Key Features

• Automated Form Filling: Instantly generates and populates complex insurance forms to eliminate manual data entry errors.

• Denial Intelligence: Uses machine learning to predict and prevent common insurance rejections before you hit submit.

• Formulary Navigator: Provides a free, instant look-up for drug coverage rules and specific payer requirements.

• Copay Assistance Enrollment: Integrates patient financial support into the same workflow to ensure treatment affordability.

• Consolidated Dashboard: Centralizes communication from dozens of disparate insurance portals into a single source of truth.

Who This Is For

• Specialty Infusion Clinics: Teams managing high-cost biologic treatments who are buried in insurance paperwork.

• Medical Administrators: Staff members looking to reduce the "man-hour" cost of securing drug approvals.

• Digital Health Providers: Tech-forward clinics aiming to modernize their back-office pharmacy operations.

Common Questions

Q: Does this work with all insurance carriers?

A: Yes, Ruma tracks changing quarterly rules across all major payers to ensure your submissions always meet current criteria.

Q: How much time does it actually save?

A: Most clinics see a 20x reduction in staff time spent per prior authorization, moving from 30+ minutes to near-instant processing.

Q: Is the platform HIPAA compliant?

A: Absolutely. Ruma is built with enterprise-grade security to ensure all patient data and medical records remain fully protected.