Droidal’s Insurance Verification AI Agent delivers automated insurance checks by connecting directly to payer portals and EHR systems. It pulls and verifies details like co-pays, deductibles, and policy status in real time, flags missing or incorrect information, and updates patient records automatically. The agent works with all major payers, keeps clear audit trails, and uses built-in pattern checks to catch possible fraud and reduce claim denials.

Droidal gives healthcare organizations a powerful advantage by offering more than 20+ AI agents that support the entire RCM process from start to finish. These agents handle insurance checks, claims, denials, Prior authorizations, and patient intake, helping teams reduce manual work and maintain smooth daily operations. With accurate data processing, cleaner claims, and faster follow-ups, organizations experience quicker reimbursements and stronger financial stability. Droidal works seamlessly with existing EHR systems, improves compliance, reduces denial risks, and ensures consistent performance even during staffing shortages. This allows healthcare organizations to achieve reliable revenue cycle results while focusing more on patient care.

Top Differentiators

Real-time payer verification: Droidal retrieves live coverage and benefits directly from payer sources so teams always have the most accurate information.

Complete benefit details: The agent returns co-pays, deductibles, out-of-pocket amounts, and plan limits that most EHR tools do not capture.

Detection of additional insurance: Droidal identifies secondary and tertiary coverage early, which helps prevent common COB related denials.

Authorization requirement alerts: The system checks payer rules and notifies staff when a service requires authorization before the visit.

Simple subscription setup: Organizations can start quickly with minimal IT effort and no long implementation cycles, using a simple monthly subscription model.

Accurate documentation in the EHR: Verification results are written directly into the patient record with clear notes, reducing manual entry and supporting audits.

Core Differentiators

Seamless Integration: Works with existing EHR, billing, and CRM systems - no need for heavy IT changes or replacements.

HIPAA-Compliant and Secure: All patient data is HIPAA-compliant and encrypted from end to end. Every AI interaction is securely logged and monitored to ensure full compliance, traceability, and alignment with SOC 2 Type 2 standards.

Faster Implementation: Ready-to-use automation modules allow quick deployment and ROI realization.

Scalable and Customizable: Flexible design adapts to the size and needs of different healthcare providers — from clinics to large hospital systems.

End-to-End Visibility: Real-time dashboards and analytics provide insights across revenue, operations, and compliance.

Continuous Support and Optimization: Dedicated customer success team ensures smooth onboarding, updates, and ongoing improvement.