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

Categories

Solutions

Description

Product Description:

Agentic AI employees for healthcare

Explore our custom AI employees for critical back office, revenue cycle, and administrative healthcare workflows. Some of our most popular include full automations for:

  1. Prior authorizations
  2. Claims processing
  3. Insurance verification
  4. Payment posting
  5. Patient enrollment
  6. Denial management
  7. Claim scrubbing
  8. Credentialing
  9. Charge reconciliation

How Magical works

Fully automate rev cycle workflows

Use an AI employee trained specifically in revenue cycle management to automate entire processes end-to-end. (No human oversight required.)

Lower your cost to collect

Unlock the efficiency of a machine. Magical pulls patient patient data directly from one system into another, to minimize insurance denials and delays.

Built for enterprise security

Maintain the highest levels of security and privacy. We never store any personal health info on our servers. 

Daily Automated Testing | Automation Logs | SOC2 & HIPAA Compliant

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. 

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 the following reasons:

  1. Fast: 1 week average implementation time
  2. Reliable: 90%+ average success rate end-to-end
  3. Proven: 100% agentic automation (no bots)
  4. Scalable: Magical runs entirely on virtual machines
  5. Interoperable: Magical can rapidly integrate with any system
  6. Compliant: Magical is SOC 2 and HIPAA-compliant
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:

Our single platform approach provides immediate visibility into revenue cycle opportunities, tackling some of today's biggest challenges with the following Productized Analytics Suite Modules:

  • Workforce Quality Insights (WQI) – Links front-office actions to financial KPIs
  • Patient Access Insights (PAI) – Enhances financial experience pre-service
  • Revenue Integrity Suite (RI) – Reduces denials and compliance risks
  • Productivity Analytics (PA) – Improves staff productivity in real-time
  • Cost Insights (CI) – Targets controllable costs
  • Business Office Suite (BOS) – Unifies patient accounting data
About MedeAnalytics:

Founded in 1993, MedeAnalytics is an innovation-focused company. Over the past three decades, we have worked tirelessly to reimagine healthcare through the power of data—and helped thousands of organizations achieve their potential along the way.

Leveraging state-of-the-art analytics and data activation, MedeAnalytics delivers actionable insights that support payers, providers, employers, and public entities as they navigate the complex healthcare landscape.

Using artificial intelligence and machine learning alongside the most advanced data orchestration in the industry, we empower organizations to optimize their resource allocation, experience superior patient outcomes, and achieve population health management goals.

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

Product Capabilities

Make your workflow automations self-driving Traditional automations (RPA) is rigid and fragile, like driving manually to a destination using printed directions. If you miss a turn or make an error, everything quickly breaks. Agentic AI is like a self-driving car that understands your goal and the nuance it takes to get there. This is intelligent automation that course-corrects, identifies shortcuts, and gets smarter over time.

Magical is SOC 2 and HIPAA-compliant

Verify patient insurance in seconds—not hours—with your new AI employee for eligibility and benefits verification. Fully automated verifications Magical AI employees log into payer portals, search for patient eligibility, and pull coverage details—automatically and accurately. Real-time benefit checks Automatically verify deductibles, co-pays, and plan-specific benefits so your team is never in the dark. Catch problems before they become denials Identify inactive policies or mismatched details upfront, so you can fix issues before submitting claims.

Identify, fix, and resubmit denied claims—automatically—with an AI employee that never misses a deadline or a denial reason. Auto-identify denials at scale Magical reviews ERAs, EOBs, and payer responses to flag and categorize denials in real time. Fix root-cause errors instantly Whether it’s a coding mismatch, missing modifier, or eligibility issue—Magical uses context-aware logic to correct and prepare clean resubmissions. Automate appeals and resubmissions Magical navigates payer portals, fills out appeal forms, and resubmits claims—without human input.

Set up an AI employee to automatically monitor the status of all prior authorizations and keep them up-to-date.

Use an AI employee to verify all information and flag any potential errors for human review. If the request looks clean, you can enable your AI employee to automatically submit it.

Automatically open and extract information from any PDF or patient file, as part of the overall workflow automation process.

Use an AI employee to automatically complete forms more reliably than any RPA bot. Get pixel-perfect precision in any EMR or insurance portal, as well as independent AI judges to verify successful form completions.

Eliminate manual data entry and reduce denials by over 50% with your new AI employee that specializes in prior authorizations. Automate prior auths end-to-end using AI Magical reliably moves patient information from your EHR and submits directly into insurance portals and prior authorization systems. Export information to any authorization form Magical recognizes information on insurance portals and automatically maps it to the right fields, getting smarter over time. Human-in-the-Loop Verification Magical combines AI automation with human verification to maintain complete accuracy and compliance in your prior authorization process.

360° View of Enterprise: Integrates clinical, financial, operational and claims data for a longitudinal view across disparate data sources, encompassing front, middle and back-office functions.

Medeanalytics' Data Science Factory is always generating new components and services to help you automate workflows, detect anomalies, assess risk, anticipate trends, and close care gaps.

MedeAnalytics helps users identify key outliers in their data and distribute the right actionable information to the right people – at the right level – throughout the enterprise. Users easily navigate through scorecards, dashboards, key performance indicators, critical success factors, and other key reporting features. In seconds, they can zoom from high-level KPI’s down to fine-grain transaction detail; from the Executive perspective to the view from any cubicle.

HITRUST Certified, NCQA Certified, AICPA SOC, TRUSTe Certified Privacy Patent-pending technology and industry critical certifications (HEDIS® certified, Data Aggregator Validator (DAV) designation pending)

MedeAnalytics' API ecosystem seamlessly integrates into multiple clearinghouses, payment processors and other third-party tools to bring all applicable registration tools into one platform, resulting in improved operational and financial efficiencies.

MedeAnalytics Innovative solutions help RCM leaders like you predict the denial, the fix, the dollars, and the deposit date – all before the 835 ever arrives. Here’s how we’re driving measurable impact: Accelerated Cash Flow • Predict denials before submission • Reduce Days in A/R • Accelerate cash flow by up to 30 days Increased Recovery Rate • Address issues proactively, not reactively • Fewer write-offs, reduced denials • Improve recovery rate by 20% Reduced Administrative Costs • Focus staff on high-priority denials • Lower labor costs • Save 20 minutes per denial on research & resubmission Revenue Optimization • Prioritize high-dollar claims based on predicted payment likelihood

MedeAnalytics performance analytics consists of real-time insight into quality, how to capture workflow issues at the registrar level to prevent downstream denials, organizing patient data longitudinally.

Patient Access Intelligence is a flexible workflow platform incorporating all aspects of the financial clearance process into a simple task-based work list to support centralized, distributed and hybrid revenue cycle models. With a robust API ecosystem, we seamlessly integrate multiple clearinghouses, payment processors and patient engagement tools to fortify your revenue cycle against data compromises and outages.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

Desktop

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  • Detailed and summary level reporting for different views to serve multiple purposes; 
  • Standard and ad-hoc reporting allowing clients flexibility to slice/dice based on unique corporate needs;
  • Incorporation of MedeAchieve across entire RCM portfolio to incorporate metric tracking into key enterprise initiative tracking;
  • Worklisting available throughout the RCM workflow;
  • Vendor flexibility – Plug & play any vendor into existing Mede workflows;
  • Robust rules engine to drive efficiencies and streamline workflows;
  • Integration of AI Agents to streamline and reduce manual entry;
  • Predictive analytics using AI intelligence;
  • Focus on productivity analytics to highlight and stratify registrar performance;
  • Integrated Financial Clearance Workflows to maximize revenue generation

Differentiators vs Competitors:

Enterprise Analytics - MedeAnalytics helps users identify key outliers in their data and distribute the right actionable information to the right people – at the right level – throughout the enterprise. 

MedeAnalytics can measure revenue and practice performance across the entire system. Our approach to organizing data into a patient longitudinal record has led to improved financial, operational, and even clinical performance.

Our Integrated MedeAchieve solution improves strategy execution with action plans that define your objectives, align staff around shared goals, and track progress in a closed­ loop system.

Keywords

Images

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Videos

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Downloads

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Company Details

Founded in 1993

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