Modivcare used Pega Blueprint to launch a Hawaii prior-authorization workflow in 42 days.

The medical transportation provider had five months to modernise inter-island prior authorization where four user groups worked in disconnected systems with manual handoffs. It used Pega Platform, Pega Customer Service for Healthcare and Pega Blueprint to map journeys visually. The page reports 42 days from kickoff to production and 15 days to align four personas.

Pega is a low-code workflow and decisioning platform, used by payers, pharmacy benefit managers and pharma for case management and next-best-action

This sits in the Ship stage of the AI use-case lifecycle: Named examples from the vendors pharma teams use to get an AI system live inside a real, regulated production workflow — validation, CRM, safety and clinical systems of record.