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Description
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Use cases
EHR integrations
Client types
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Prior Authorization
Prior Authorization

0 review

True Access™
True Access™

0 review

Categories

Solutions

Description

Product Description:
Magical’s Prior Authorization Agent is an advanced agentic AI solution purpose-built to automate the full prior authorization workflow—reducing delays, manual effort, and denials that burden providers and revenue cycle teams. Designed to act like a digital employee, the solution intelligently extracts clinical documentation from EMRs, determines the appropriate payer-specific requirements, completes the necessary forms, and submits them through the correct channels, whether by API, portal, or fax. Unlike traditional automation tools that rely on static rules or templates, Magical’s agentic AI operates with reasoning and adaptability. It can navigate unstructured systems, manage edge cases, and respond to real-time payer feedback without requiring human oversight. Once submitted, the agent continuously monitors the status of each request, follows up as needed, and flags any denials or exceptions that may require staff intervention. The result is a dramatic improvement in operational efficiency and patient access to care. Organizations using Magical’s Prior Authorization Agent have seen faster turnaround times, reduced administrative burden, and improved clean submission rates. By automating repetitive and error-prone tasks, it frees staff to focus on higher-value work and enhances the patient experience. Magical’s Prior Authorization Agent is easy to deploy, EMR-agnostic, and scalable across service lines. It brings together powerful AI, healthcare-specific workflows, and continuous learning to deliver consistent results in even the most complex payer environments. Whether your goal is to reduce cost, speed up access, or improve accuracy, Magical delivers automation that thinks, acts, and delivers—like your best employee, 24/7.
About Magical:

Magical is an agentic AI platform that fully automates complex workflows in just one week. Put your back office on autopilot with AI employees that use human-like decision-making and best-in-class reliability. 

Who we are

A blended team of 40+ technology and healthcare experts. Not only will you be working with agentic AI engineers, but also seasoned rev cycle experts. 

Why we’re trusted

Over 100,000+ companies—including WebPT, Phreesia, SonderMind, and Curalta—trust Magical automations for three key reasons:

  1. Fast: 1 week average implementation time
  2. Reliable: 90%+ average success rate end-to-end
  3. Proven: 100% agentic automation (no bots)

About the technology

Fully agentic

Magical AI agents use reasoning models, real- time data retrieval, and goal-based execution to make your automations more reliable than traditional rule-based approaches. They can adapt to changes on the fly, and learn from failures. 

Best-in-class reliability

Get over 90% success rates on end-to-end automations of any complex workflow. Magical uses multi-agent evaluation infrastructure to ensure your automations are running smoothly. 

Performance monitoring

Dive into complete logs of every single step of every single automation to give your team clear visibility into success rates and edge cases. 

Scalable

Magical runs entirely on virtual machines

Interoperable

Magical can rapidly integrate with any system

Compliant

Magical is SOC 2 and HIPAA-compliant

Product Description:

Patient access departments are charged with accuracy from the start. 

Challenges—claims denials, returned mail, regulatory burdens and low patient satisfaction—are barriers they face. Solutions that empower registrars and staff with intuitive, consistent workflows and that prepare patients for their financial obligations have been elusive—until now.

True Access™ clearly and accurately fills the gaps in preservice coverage verification and estimation of patients’ financial obligations. Staff gain consistent workflows and patients receive precisely tailored payment options everywhere. True Access includes additional patient access tools for staff to support eligibility and address verification, medical necessity and prior authorization processes.

With True Access from RevSpring, you receive proven solutions that support four critical areas: 

(1) Coverage Determination and Verification,

(2) Claim Denial Prevention,

(3) Patient Financial Readiness and Increased

Collections, and

(4) Tools, Workflows and Reporting for Staff.

Coverage Determination & Verification

Fast, simple and accurate resolution of all patient accounts prior to, or at the point of, service—no matter whether or not patients are insured, uninsured, underinsured and/or qualify for financial assistance. Includes Eligibility, Coverage Verification and Determination, and Medicaid Coverage Discovery.

Claim Denial Prevention

True Access reduces time spent rebilling claims and reduces days in AR by submitting claims correctly from the start. Includes Prior Authorization and Precertification, Medical Necessity and Coordination of Benefits.

Patient Financial Readiness & Increased Collections

Prepare patients for their financial responsibility and empower them to pay precisely what they can, when they can, from anywhere. Accurate estimates, seamlessly 

integrated with RevSpring’s PersonaPay portal, enable patients to manage their balances with confidence. Our hassle-free billing adjustment solution also allows 

providers to confidently request payments in advance.

Tools, Workflows & Reporting for Staff

True Access empowers staff with intuitive workflows and a modern user interface to manage registration quickly and efficiently. Intuitive staff views based on work queues and guided workflows drive consistency and accuracy, saving time for patients and staff. Our tools also allow you to monitor staff performance.

About RevSpring, Inc.:

RevSpring leads the market in healthcare engagement and payment solutions that inspire patients to participate in and pay for their healthcare. We’ve built Engage IQ™, the industry’s only connected patient engagement suite designed to coordinate patient interactions from pre-care to post-care to payment. RevSpring’s intelligent, holistic platform puts patient understanding at the center of one connected personal experience, allowing providers to fully optimize patient satisfaction, data accuracy, staff efficiency and financial outcomes. The company’s OmniChannel communications and payment solutions are backed by intelligence, analytics, contextual messaging and user experience best practices. RevSpring was rated #1 for Most New Capabilities in Patient Engagement by KLAS in 2023 and Best in KLAS in Patient Communications in 2024.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
  • Coverage determination and verification
  • Claim denial prevention
  • Patient financial readiness
Pediatric use cases:

None provided

Users:
  • Patient access directors
  • Patient access coordinators

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Behavioral health

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Allscripts/Eclipsys, Azalea Health/Prognosis, Healthland, MEDHOST, Self-developed

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

RevSpring is the only patient access vendor to connect the dots between intake, registration, and payment.

Keywords

Images

No images provided

No images provided

Videos

No videos provided

No videos provided

Downloads

No content provided

No content provided

Alternatives

Company Details

Founded in 1997

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