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

Categories

Solutions

Description

Product Description:

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.

About Droidal LLC:

None provided

Product Description:

DataMartrix Medical's prior authorization services are perfect for those practices backed up by the burden of prior authorizations and are not reimbursed promptly. We will handle PAs throughout the entire process. We can work alongside current staff to support orders, submissions, approvals, and the denial/appeal process or handle the whole process to free up time for you and your staff.

Our HIPAA-compliant and secure service is EHR and EMR agnostic, so we can work with any system with a minimum setup cost that is, on average, 70% less than AI-centered RCM tools and 50% less than an hourly employee. DataMatrix is 99+% accurate and offers 24/7 capabilities, so there is no downtime. The prior authorization service by DataMatrix Medical accommodates all private insurance, no-fault, and worker's comp.

For over 25 years, DataMatrix Medical has been a leader in healthcare business process support. The prior authorization product can work seamlessly with other products, such as medical scribing, document indexing, and medical credentialing.

Try the DataMatrix Medical prior authorizations service risk-free and no long-term contracts; cancel anytime.

About DataMatrix Medical:

DataMatrix Medical is a leader in virtual medical scribing and prior authorization outsourcing

Our BPO services, including AI proofreading, insurance eligibility verifications, voicemail to EHR transcription, document management, charge posting, billing, and coding, have boosted productivity for over 300+ medical practices and hospitals nationwide. We are HIPAA certified, adhering to the highest standards. We are headquartered in White Plains, NY, USA, and have excellent references from clients spanning 25 years.

Our clients love our 24-hour customer service, rapid turnaround, and the convenience of easily customized service

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:

Use Cases

  • Instantly verify patient insurance eligibility in real time.
  • Reduce claim denials and minimize errors automatically.
  • Keep EHR and billing systems updated with accurate insurance data.
  • Detect expired coverage, mismatched details, and potential fraud.
  • Connect seamlessly with all major payer portals.
  • Send real-time notifications to staff and patients about coverage changes.
  • Operate 24/7 to handle high verification volumes.
  • Maintain full audit logs for compliance and reporting.
  • Eliminate manual data entry and repetitive verification tasks.
  • Scale effortlessly with growing patient volumes without workflow disruption.

Pediatric use cases:

None provided

Users:

20 Users

Description:

The DataMatrix Medical prior authorization product is used by small to mid-size practices and as large as those that will do hundreds of PAs weekly. The service is medical specialty agnostic so that DataMatrix can support orthopedics, pediatrics, cardiology, and more. We specialize in authorizations for Radiology, DME, Injections, Surgeries, and more. This service is best for practices that need to cut overhead costs while working to increase reimbursement rates. 

Pediatric use cases:

The application is the same across all medical specialties, taking into account the obvious rules and appropriate restrictions. The PA service is HIPAA-compliant and audited regularly under gregarious scrutiny. 

Users:
  • Office Administrators
  • VP of Operations
  • Operations Managers
  • Office Managers
  • Clinical Coordinators
  • Any Medical Practices with PA Needs

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Access +/or revenue cycle, Credentialing, Other

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

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:

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.

Differentiators vs EHR Functionality:

DataMatirx Medical can support ALL EHR systems and functionality 

Differentiators vs Competitors:
  • Minimus is 70% Less than leading RCM tools
  • Hourly rates are 50% of the cost of full-time specialist
  • Hybrid module so that service is more accurate than AI-centric SAAS competitors
  • EHR agnostic meaning all EHRs or EMRs are supported 

Health Equity

Keywords

Images

1 of 1

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Insurance Verification AI Agent

1 of 4

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Prior Authorization Team at AAOE 2024

Videos

No videos provided

1 of 3

As Per Month.mp4

Downloads

No content provided

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DataMatrix Solutions Booklet 24.pdf

Alternatives

Company Details

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