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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:

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:

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.

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

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.

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:

Works for pediatric coverage, including children insured under major payer plans. Support for public plans such as Medicaid or CHIP, depends on the payer portal availability.

Users:
  1. Front desk staff
  2. Patient access teams
  3. Insurance verification specialists
  4. Billing and claims teams
  5. Pre-authorization teams
  6. Revenue cycle management teams
  7. Practice administrators
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, Access +/or revenue cycle, Credentialing, 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, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

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

Client Types

Differentiators

Differentiators vs EHR Functionality:

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.

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:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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