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.

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.

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.

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.

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