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.

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.

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

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.

DataMatirx Medical can support ALL EHR systems and functionality 

• 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