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.

HealthNautica’s eORders™, software is a comprehensive, easy-to-use, cloud solution for managing the entire perioperative process and surgical scheduling without changing your scheduling system. It begins with the physician’s office filling out an online surgery scheduling or procedure request.

Gone are the days of illegible, incomplete, inaccurate faxes sent back and forth between the physician’s office and the facility’s scheduling department. The cumbersome and error prone faxing process is replaced by an electronic form that is configured to each facility’s exact specifications and reacts to the user’s input thereby assisting the physician’s office in getting it right the first time.

All orders are legible, complete, screened for CMS Medical Necessity, incorporate SCIP, VTE, SSI and ACS NSQIP measures, verified for insurance eligibility, pre-certified and satisfy edits by CMS, commercial payers and the facility. Our solution ensures efficient surgery center scheduling and block time management while streamlining processes such as prior authorization.

Healthcare Software Developer

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.

Provides agnostic interoperability that integrates a solution outside the competancy of the EHR and facilitates a companion to the EHR

Pricing and customer support are key