Prior authorization remains one of the most time consuming and error prone processes in healthcare operations. Manual checks, incomplete documentation, payer specific rules, and delayed follow ups often result in denials, treatment delays, and administrative overload.

Droidal Prior Authorization AI Agent addresses these challenges by automating the full authorization workflow. The AI Agent reviews insurance and payer rules to determine authorization requirements, pulls relevant clinical documentation from EHR systems, and prepares complete, payer ready submissions. Requests are submitted in real time and continuously monitored for updates or missing information.

The solution keeps care and revenue cycle teams informed through timely alerts and system updates. If a request is denied, the AI Agent assists with appeal preparation and resubmission to speed up resolution. By reducing manual effort and improving accuracy, healthcare organizations can process authorizations faster, lower denial rates, and ensure patients receive timely access to care.

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.

Scalable and Robust Automation solutions for the healthcare domain. Domain specific solutions that are HIPAA compliant and secure. Healthcare processes around all EMRs and Payers can be automated by using Robotic Process Automation. Software robots can mimic user actions to automate tasks that are otherwise carried out manually. If a process is streamlined, can be defined and/or structured, we got you covered through automation.
Data interoperability and process automation is a breeze for RPA bots. Realize quick ROI through quick turnarounds. Embrace the non-invasive technology through our expertise.

Auxiliobits is a global Software Consulting and Artificial Intelligence advisory company. Auxiliobits drives digital transformation by reinventing enterprise operations through hyper-automation and AI enabled applications. Its mission is to ease human lives and businesses with the use of advanced technology. It is obsessed by what technology can do for enterprises and leverage its professional services to realize long term and sustainable ROI.

Auxiliobits envision enabling any domain of an enterprise business to leverage the digitization of the workforce and realize quick benefits with a minimal disruption to the underlying systems. The company is committed to improve customer experiences for enterprises by helping them integrate and implement hyper-automation strategies that will help digitize and automate their processes and workflows.

Purpose-Built for Prior Authorization: Designed specifically to manage the full prior authorization process, beyond basic EHR capabilities.

Active Status Tracking: Provides ongoing visibility and follow ups after submission, not just static status updates.

Payer-Specific Handling: Adapts to individual payer rules and documentation needs, unlike generic EHR workflows.

Denials and Appeals Support: Assists with denial review and appeal preparation, which most EHRs do not cover.

Scales Beyond EHR Limits: Handles higher volumes and multiple specialties without being constrained by EHR configurations.

End-to-End Prior Authorization Focus: Built specifically to manage the full prior authorization lifecycle, not a partial workflow or add-on feature.

Real Time Status Visibility: Provides continuous tracking and clear updates, reducing the need for manual checks and follow ups.

Payer-Aware Workflows: Aligns with payer-specific rules and documentation requirements rather than relying on generic processes.

Denial and Appeal Support: Helps teams address denials and prepare appeals, which many competing tools leave manual.

Designed for Scale: Handles high authorization volumes across multiple specialties without performance drop-offs.

Fits Into Existing Systems: Works alongside current EHR and RCM platforms without forcing workflow replacement.

We provide automation around virtually every EHR irrespective of the fact that there is an API available or not. 

RPA has the followinf capabilities:

• Citrix Environment Access
• Document Understanding for reading documents like claim PDFs, EOB files, insurance cards
• RDP access of portals can be automated
• Containing bot hour spend through transaction optimization and parallel automation runs
• Data Analytics for transactions processed and performance metrics
• Unattended and Attended Automations

Services Provided

• Business Analysis
• Solution Architecture
• Solution Design to optimize license usage
• Setting up Test and Production environments
• Solution Implementation and Development
• Infrastructure Setup and Management
• Process Analytics using tools like Elastic Search and Kibana
• Building Automation Operating Model
• Fully outsourced or Hybrid CoE
• RPA Best Practices including documentaton